CANYON CREEK FAMILY & IMPLANT DENTISTRY
NPI 1063922938
Clinic/Center - Dental in Everett, WA

Active since October 05, 2017
4809 132ND ST SE STE A105, EVERETT, WA 98208(425) 585-0805 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Creek Family & Implant Dentistry NPPES

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

CANYON CREEK FAMILY & IMPLANT DENTISTRY (NPI 1063922938) is a healthcare organization registered as a dental in Everett, Washington and active in the NPI registry since October 2017. The organization lists Kevin La, Owner, as its authorized official.

NPPES Registry Identity

NPI1063922938
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEVIN LA, PLLC
Location Address4809 132ND ST SE STE A105Everett, WA 98208-6241
Mailing Address17321 40th Ave SeBothell, WA 98012-5065
Organization SubpartNo
Authorized OfficialKevin LaOwner · (213) 448-7706
Enumeration DateOctober 5, 2017
NPI 1063922938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4809 132ND ST SE STE A105, Everett, WA 98208

Other Names 1

Doing Business AsCanyon Creek Family & Implant Dentistry

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4809 132ND ST SE STE A105
EVERETT, WA 98208

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 Kevin La, PLLC's NPI number?

The NPI number for Kevin La, PLLC is 1063922938. It was assigned to this organization in the NPPES registry on October 5, 2017. The provider is doing business as Canyon Creek Family & Implant Dentistry.

Where is Kevin La, PLLC located?

Kevin La, PLLC is located at 4809 132nd St SE Ste A105, Everett, WA 98208. The listed phone number is (425) 585-0805.

What is Kevin La, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kevin La, PLLC was last updated on October 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.