Organization · Type 2 NPI

PSPD - Monroe, PLLC

Pediatric Dentistry · Monroe, WA

NPI number 1679898902 Active

Practice location

14090 Fryelands Blvd SE Ste 348
Monroe, WA 98272-2760

Fax (360) 822-7184

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	DE00009918 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Another provider at this address

Dusayant Patel, DMDPediatric Dentistry Monroe, WA NPI 1538652417

NPI record

NPI: 1679898902
Entity type: Organization (Type 2)
Issued: Mar 30, 2010
Last updated: Apr 11, 2022
Status: Active
Subpart: Yes of Lugo DMD Marysville PS

Other names

<unavail>
Puget Sound Pediatric Dentistry · doing business as
Puget Sound Pediatric Dentistry · doing business as

Authorized official

Mrs. Jessica R Knight
Account Receivable Manager
(360) 863-8700

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About NPI 1679898902

PSPD - Monroe, PLLC's National Provider Identifier is 1679898902, issued on Mar 30, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Monroe, WA. The record was last updated on Apr 11, 2022.