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PANTHER LAKE DENTAL
NPI 1316010531
Dentist - General Practice in Kent, WA

Active since November 16, 2006
10920 SE 208TH ST, KENT, WA 98031(253) 854-1222(253) 859-1269 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Panther Lake Dental NPPES

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

PANTHER LAKE DENTAL (NPI 1316010531) is a healthcare organization registered as a general practice in Kent, Washington and active in the NPI registry since November 2006. The organization lists Jay D Deiglmeier, President, as its authorized official.

NPPES Registry Identity

NPI1316010531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAY D. DEIGLMEIER DDS. PS
Location Address10920 SE 208TH STKent, WA 98031-4009
Mailing Address10920 Se 208th StKent, WA 98031-4009 · (253) 854-1222
Phone(253) 854-1222
Fax(253) 859-1269
Organization SubpartNo
Authorized OfficialJay D DeiglmeierPresident · (253) 854-1222
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316010531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00007064
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10920 SE 208TH ST, Kent, WA 98031
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Other Names 1

Doing Business AsPanther Lake Dental

Other Identifiers 5

OtherDE7654WA · Regence
Medicaid5023221WA
Medicaid5025788WA
Other57064WA · Wds
Other103746WA · L & I

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

Other Providers at the Same Location NPPES 13

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

DR. CHASE ROBERT DEIGLMEIER DDS
Dentist
10920 SE 208TH ST
KENT, WA 98031
King County (253) 854-1222
DR. NADIA T AFIFI D.D.S.
Dentist (General Practice)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 854-8008
DR. JOANNE BANNEROT DDS
Dentist (General Practice)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 854-1222
DR. DENNIS B. DYSON
Dentist (General Practice)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 854-4570
SILAS D. DUDLEY, D.D.S., M.S.D., P.L.L.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 852-7331
ROBERT B. ROURKE D.D.S., P.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 852-7331
DR. CAMERON FREELOVE DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 852-7331
JAY D DEIGLMEIER DDS
Dentist (General Practice)
10920 SE 208TH ST
KENT, WA 98031
King County (253) 854-1222

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 Jay D. Deiglmeier Dds. Ps's NPI number?

The NPI number for Jay D. Deiglmeier Dds. Ps is 1316010531. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Panther Lake Dental.

Where is Jay D. Deiglmeier Dds. Ps located?

Jay D. Deiglmeier Dds. Ps is located at 10920 SE 208th St, Kent, WA 98031. The listed phone number is (253) 854-1222.

What is Jay D. Deiglmeier Dds. Ps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jay D. Deiglmeier Dds. Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.