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LAKESIDE ENDODONTICS
NPI 1104056910
Dentist - Endodontics in Everett, WA

Active since July 15, 2009
10025 19TH AVE SE STE 202, EVERETT, WA 98208(425) 357-8747(425) 337-6190 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Endodontics NPPES

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

LAKESIDE ENDODONTICS (NPI 1104056910) is a healthcare organization registered as an endodontics in Everett, Washington and active in the NPI registry since July 2009. The organization lists Shahin Etemadi, President, as its authorized official.

NPPES Registry Identity

NPI1104056910
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameLAKESIDE ENDODONTICS
Location Address10025 19TH AVE SE STE 202Everett, WA 98208-4275
Mailing Address10025 19th Ave Se Ste 202Everett, WA 98208-4275 · (425) 357-8747 · Fax (425) 337-6190
Phone(425) 357-8747
Fax(425) 337-6190
Organization SubpartNo
Authorized OfficialShahin EtemadiPresident · (425) 357-8747
Enumeration DateJuly 15, 2009
Last NPPES UpdateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1104056910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
10025 19TH AVE SE STE 202, Everett, WA 98208
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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 MULTIPLE SINGLE 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 ›

Other Providers at the Same Location NPPES

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

JENNIFER ZHANG CHAI DMD
Dentist
10025 19TH AVE SE STE 202
EVERETT, WA 98208
Snohomish County (425) 357-8747

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 Lakeside Endodontics's NPI number?

The NPI number for Lakeside Endodontics is 1104056910. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is Lakeside Endodontics located?

Lakeside Endodontics is located at 10025 19th Ave SE Ste 202, Everett, WA 98208. The listed phone number is (425) 357-8747.

What is Lakeside Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Lakeside Endodontics accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lakeside Endodontics 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 Lakeside Endodontics was last updated on April 14, 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.