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

NPI Status: Active since March 27, 2026

Contact Information

515 HWY 9 STE 102
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 439-7446

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About GLACIER ORAL & MAXILLOFACIAL SURGERY

This page provides the complete NPI Profile along with additional information for Glacier Oral & Maxillofacial Surgery, a provider established in Lake Stevens, Washington operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1083553630 assigned on March 2026. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Dr. Benjamin Noblitt Dmd (Owner Dentist)

NPI
1083553630
Provider Name
GLACIER ORAL & MAXILLOFACIAL SURGERY
Entity Type
Organization
Location Address
515 HWY 9 STE 102 LAKE STEVENS, WA 98258
Location Phone
(425) 439-7446
Mailing Address
7718 19TH PL SE LAKE STEVENS, WA 98258
Mailing Phone
(425) 293-1375
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2026
Last Update Date
03-27-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BENJAMIN NOBLITT DMD

Authorized Official Title
OWNER DENTIST
Authorized Official Phone
(425) 293-1372

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083553630, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 5 → 10 → 1 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 0 + 5 + 6 + 6 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1083553630.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
515 HWY 9 STE 102
LAKE STEVENS, WA 98258
Dentist (Oral and Maxillofacial Surgery)
515 HWY 9 STE 102
LAKE STEVENS, WA 98258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083553630, enumerated as an "organization" on March 27, 2026.

The provider is located at 515 HWY 9 STE 102 LAKE STEVENS, WA 98258 and the phone number is (425) 439-7446.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.