PUGET SOUND PEDIATRIC DENTISTRY
NPI 1154675064
Dentist - Pediatric Dentistry in Lake Stevens, WA

Q: What is Pspd - Lake Stevens PLLC's NPI number?

The NPI number for Pspd - Lake Stevens PLLC is 1154675064. It was assigned to this organization in the NPPES registry on October 30, 2012. The provider is doing business as Puget Sound Pediatric Dentistry.

Q: What is Pspd - Lake Stevens PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since October 30, 2012

9421 N. DAVIES ROAD #A, LAKE STEVENS, WA 98258(425) 367-4149(425) 609-4530 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2022, Jan 31, 2017 (2 updates tracked since 2017).

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About Puget Sound Pediatric Dentistry NPPES

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

PUGET SOUND PEDIATRIC DENTISTRY (NPI 1154675064) is a healthcare organization registered as a pediatric dentistry in Lake Stevens, Washington and active in the NPI registry since October 2012. The organization lists Jessica R Knight, Account Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1154675064

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePSPD - LAKE STEVENS PLLC

Location Address9421 N. DAVIES ROAD #ALake Stevens, WA 98258

Mailing Address9421 N. Davies Road #aLake Stevens, WA 98258 · (425) 367-4149 · Fax (425) 609-4530

Phone(425) 367-4149

Fax(425) 609-4530

Organization SubpartYesParent: Lugo Dmd Marysville Ps

Authorized OfficialJessica R KnightAccount Receivable Manager · (425) 367-4149

Enumeration DateOctober 30, 2012

Last NPPES UpdateApril 11, 20222 updates tracked since enumeration

NPPES CertifiedApril 11, 2022

✔ NPI 1154675064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in WA · DE00009918

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Other Names 1

Doing Business AsPuget Sound Pediatric Dentistry

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

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 Pspd - Lake Stevens PLLC's NPI number?

The NPI number for Pspd - Lake Stevens PLLC is 1154675064. It was assigned to this organization in the NPPES registry on October 30, 2012. The provider is doing business as Puget Sound Pediatric Dentistry.

Where is Pspd - Lake Stevens PLLC located?

Pspd - Lake Stevens PLLC is located at 9421 N. Davies Road #a, Lake Stevens, WA 98258. The listed phone number is (425) 367-4149.

What is Pspd - Lake Stevens PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pspd - Lake Stevens PLLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.