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GLACIER ORAL & MAXILLOFACIAL SURGERY
NPI 1083553630
Clinic/Center - Oral and Maxillofacial Surgery in Lake Stevens, WA

Active since March 27, 2026
515 HWY 9 STE 102, LAKE STEVENS, WA 98258(425) 439-7446 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glacier Oral & Maxillofacial Surgery NPPES

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

GLACIER ORAL & MAXILLOFACIAL SURGERY (NPI 1083553630) is a healthcare organization registered as an oral and maxillofacial surgery in Lake Stevens, Washington and active in the NPI registry since March 2026. The organization lists Benjamin Noblitt, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1083553630
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameGLACIER ORAL & MAXILLOFACIAL SURGERY
Location Address515 HWY 9 STE 102Lake Stevens, WA 98258-8523
Mailing Address7718 19th Pl SeLake Stevens, WA 98258-3212 · (425) 293-1375
Phone(425) 439-7446
Organization SubpartNo
Authorized OfficialBenjamin NoblittOwner Dentist · (425) 293-1372
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1083553630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
515 HWY 9 STE 102, Lake Stevens, WA 98258
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Other Providers at the Same Location NPPES 2

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

DR. BENJAMIN R NOBLITT D.M.D.
Dentist (Oral and Maxillofacial Surgery)
515 HWY 9 STE 102
LAKE STEVENS, WA 98258
Snohomish County (425) 293-1372
DOUGLAS J BRAJCICH JR & JULIE LUM DMD P.C.
Dentist (General Practice)
515 HWY 9 STE 102
LAKE STEVENS, WA 98258
Snohomish County (425) 334-6912

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 Glacier Oral & Maxillofacial Surgery's NPI number?

The NPI number for Glacier Oral & Maxillofacial Surgery is 1083553630. It was assigned to this organization in the NPPES registry on March 27, 2026.

Where is Glacier Oral & Maxillofacial Surgery located?

Glacier Oral & Maxillofacial Surgery is located at 515 Hwy 9 Ste 102, Lake Stevens, WA 98258. The listed phone number is (425) 439-7446.

What is Glacier Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Glacier Oral & Maxillofacial Surgery was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.