PACIFIC CHILDRENS DENTISTRY
NPI 1407126873
Dentist - Pediatric Dentistry in Everett, WA

Active since January 03, 2012
916 PACIFIC AVE, EVERETT, WA 98201(206) 355-1596 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacific Childrens Dentistry NPPES

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

PACIFIC CHILDRENS DENTISTRY (NPI 1407126873) is a healthcare organization registered as a pediatric dentistry in Everett, Washington and active in the NPI registry since January 2012. The organization lists Tarja Kaakko, President, as its authorized official.

NPPES Registry Identity

NPI1407126873
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePACIFIC CHILDRENS DENTISTRY
Location Address916 PACIFIC AVEEverett, WA 98201-4147
Mailing Address700 Nw Gilman Blvd, E-103, #493Issaquah, WA 98027-5395
Organization SubpartNo
Authorized OfficialTarja KaakkoPresident · (206) 355-1596
Enumeration DateJanuary 3, 2012
NPI 1407126873 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 · 9397
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.

916 PACIFIC AVE, Everett, WA 98201

Other Identifiers 2

Other1306911383WA · Personal Npi 1306911383
Medicaid5056239WA

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 20

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

Obstetrics & Gynecology
916 PACIFIC AVE
EVERETT, WA 98201
Advanced Practice Midwife
916 PACIFIC AVE, 2ND FLOOR
EVERETT, WA 98201
Occupational Therapist
916 PACIFIC AVE
EVERETT, WA 98201
Physical Therapist
916 PACIFIC AVE
EVERETT, WA 98201
Advanced Practice Midwife
916 PACIFIC AVE, 7TH FLOOR
EVERETT, WA 98201
Nurse Practitioner
916 PACIFIC AVE, FIRST FLOOR
EVERETT, WA 98201
Speech-Language Pathologist
916 PACIFIC AVE
EVERETT, WA 98201
Occupational Therapist
916 PACIFIC AVE
EVERETT, WA 98201

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 Pacific Childrens Dentistry's NPI number?

The NPI number for Pacific Childrens Dentistry is 1407126873. It was assigned to this organization in the NPPES registry on January 3, 2012.

Where is Pacific Childrens Dentistry located?

Pacific Childrens Dentistry is located at 916 Pacific Ave, Everett, WA 98201. The listed phone number is (206) 355-1596.

What is Pacific Childrens Dentistry'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 Pacific Childrens Dentistry was last updated on January 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.