MOUNTAIN SMILES, PLLC
NPI 1083410237
Dentist in Lacey, WA

Q: What is Mountain Smiles, PLLC's NPI number?

The NPI number for Mountain Smiles, PLLC is 1083410237. It was assigned to this organization in the NPPES registry on February 19, 2025.

Q: What is Mountain Smiles, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 19, 2025

8765 TALLON LN NE # 1, LACEY, WA 98516(360) 577-0566 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Feb 19, 2025 (2 updates tracked since 2025).

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About Mountain Smiles, Pllc NPPES

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

MOUNTAIN SMILES, PLLC (NPI 1083410237) is a healthcare organization registered as a dentist in Lacey, Washington and active in the NPI registry since February 2025. The organization lists Angel Gimenez, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1083410237

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMOUNTAIN SMILES, PLLC

Location Address8765 TALLON LN NE # 1Lacey, WA 98516-6654

Mailing Address8765 Tallon Ln Ne # 1Lacey, WA 98516-6654 · (360) 577-0566

Phone(360) 577-0566

Organization SubpartNo

Authorized OfficialAngel GimenezCredentialing Manager · (719) 300-5933

Enumeration DateFebruary 19, 2025

Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1083410237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedDenturistTaxonomy 122400000X

Also ListedDental HygienistTaxonomy 124Q00000X

Also ListedDental AssistantTaxonomy 126800000X

8765 TALLON LN NE # 1, Lacey, WA 98516

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 Mountain Smiles, PLLC's NPI number?

The NPI number for Mountain Smiles, PLLC is 1083410237. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Mountain Smiles, PLLC located?

Mountain Smiles, PLLC is located at 8765 Tallon Ln NE # 1, Lacey, WA 98516. The listed phone number is (360) 577-0566.

What is Mountain Smiles, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mountain Smiles, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mountain Smiles, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Smiles, PLLC was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.