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MAPLE VALLEY FAMILY DENTAL CARE
NPI 1053480988
Dentist - General Practice in Maple Valley, WA

Active since November 07, 2006
27016 MAPLE VALLEY BLK DIAMOND RD SE, MAPLE VALLEY, WA 98038(425) 413-8525(425) 413-8599 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maple Valley Family Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLE VALLEY FAMILY DENTAL CARE (NPI 1053480988) is a healthcare organization registered as a general practice in Maple Valley, Washington and active in the NPI registry since November 2006. The organization lists Julie S Cielo, Manager, as its authorized official.

NPPES Registry Identity

NPI1053480988
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETER W JACOBSEN DDS PLLC
Location Address27016 MAPLE VALLEY BLK DIAMOND RD SEMaple Valley, WA 98038
Mailing Address27016 Maple Valley Blk Diamond Rd SeMaple Valley, WA 98038 · (425) 413-8525 · Fax (425) 413-8599
Phone(425) 413-8525
Fax(425) 413-8599
Organization SubpartNo
Authorized OfficialJulie S CieloManager · (425) 413-8525
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 1, 2008
✔ NPI 1053480988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00005267
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

27016 MAPLE VALLEY BLK DIAMOND RD SE, Maple Valley, WA 98038
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Other Names 1

Doing Business AsMaple Valley Family Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter W Jacobsen Dds PLLC's NPI number?

The NPI number for Peter W Jacobsen Dds PLLC is 1053480988. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Maple Valley Family Dental Care.

Where is Peter W Jacobsen Dds PLLC located?

Peter W Jacobsen Dds PLLC is located at 27016 Maple Valley Blk Diamond Rd SE, Maple Valley, WA 98038. The listed phone number is (425) 413-8525.

What is Peter W Jacobsen Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peter W Jacobsen Dds PLLC was last updated on August 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.