PUGET SOUND PEDIATRIC DENTISTRY
NPI 1194188870
Dentist - Pediatric Dentistry in Stanwood, WA

Active since March 31, 2016
7104 265TH ST NW STE 110, STANWOOD, WA 98292(360) 339-8000(360) 339-8044 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Jan 31, 2017, Mar 31, 2016 (3 updates tracked since 2016).

About Puget Sound Pediatric Dentistry NPPES

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

PUGET SOUND PEDIATRIC DENTISTRY (NPI 1194188870) is a healthcare organization registered as a pediatric dentistry in Stanwood, Washington and active in the NPI registry since March 2016. The organization lists Jessica R. Knight, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1194188870
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePSPD - STANWOOD, PLLC
Location Address7104 265TH ST NW STE 110Stanwood, WA 98292-6250
Mailing Address919 State Ave Ste 104Marysville, WA 98270-4284 · (360) 659-8100 · Fax (360) 659-8133
Fax(360) 339-8044
Organization SubpartYesParent: Lugo Dmd Marysville Ps
Authorized OfficialJessica R. KnightAccounts Receivable Manager · (360) 339-8000
Enumeration DateMarch 31, 2016
Last NPPES UpdateApril 11, 20223 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1194188870 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.
7104 265TH ST NW STE 110, Stanwood, WA 98292

Other Names 1

Doing Business AsPuget Sound Pediatric Dentistry

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 SINGLE 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 - Stanwood, PLLC's NPI number?

The NPI number for Pspd - Stanwood, PLLC is 1194188870. It was assigned to this organization in the NPPES registry on March 31, 2016. The provider is doing business as Puget Sound Pediatric Dentistry.

Where is Pspd - Stanwood, PLLC located?

Pspd - Stanwood, PLLC is located at 7104 265th St NW Ste 110, Stanwood, WA 98292. The listed phone number is (360) 339-8000.

What is Pspd - Stanwood, 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 - Stanwood, 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.