SOUTH LAKE FAMILY DENTISTRY
NPI 1275942518
Dentist in Lake Stevens, WA

Q: What is South Lake Family Dentistry's NPI number?

The NPI number for South Lake Family Dentistry is 1275942518. It was assigned to this organization in the NPPES registry on August 12, 2014.

Q: What is South Lake Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 12, 2014

10515 20TH ST SE, SUITE 201, LAKE STEVENS, WA 98258(425) 334-9600(425) 334-9900 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About South Lake Family Dentistry NPPES

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

SOUTH LAKE FAMILY DENTISTRY (NPI 1275942518) is a healthcare organization registered as a dentist in Lake Stevens, Washington and active in the NPI registry since August 2014. The organization lists Todd Miesel, Owner, as its authorized official.

NPPES Registry Identity

NPI1275942518

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTH LAKE FAMILY DENTISTRY

Location Address10515 20TH ST SE, SUITE 201Lake Stevens, WA 98258-4764

Mailing Address10515 20th St Se, Suite 201Lake Stevens, WA 98258-4764 · (425) 334-9600 · Fax (425) 334-9900

Phone(425) 334-9600

Fax(425) 334-9900

Organization SubpartNo

Authorized OfficialTodd MieselOwner · (425) 334-9600

Enumeration DateAugust 12, 2014

✔ NPI 1275942518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · 7981

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

10515 20TH ST SE, Lake Stevens, WA 98258

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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 South Lake Family Dentistry's NPI number?

The NPI number for South Lake Family Dentistry is 1275942518. It was assigned to this organization in the NPPES registry on August 12, 2014.

Where is South Lake Family Dentistry located?

South Lake Family Dentistry is located at 10515 20th St SE Suite 201, Lake Stevens, WA 98258. The listed phone number is (425) 334-9600.

What is South Lake Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for South Lake Family Dentistry was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.