MOUNTAIN SMILES - KIRKLAND DENTAL PLLC
NPI 1477359628
Dentist in Kirkland, WA

Active since February 19, 2025
11830 NE 128TH ST STE 201, KIRKLAND, WA 98034(425) 823-6820 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2026, Mar 7, 2025, Feb 19, 2025 (3 updates tracked since 2025).

About Mountain Smiles - Kirkland Dental Pllc NPPES

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

MOUNTAIN SMILES - KIRKLAND DENTAL PLLC (NPI 1477359628), doing business as Elite Dental Studio, is a healthcare organization registered as a dentist in Kirkland, Washington and active in the NPI registry since February 2025. The organization lists Angel Gimenez, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1477359628
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMOUNTAIN SMILES - KIRKLAND DENTAL PLLC
Location Address11830 NE 128TH ST STE 201Kirkland, WA 98034-7202
Mailing Address11830 Ne 128th St Ste 201Kirkland, WA 98034-7202 · (425) 823-6820
Organization SubpartNo
Authorized OfficialAngel GimenezCredentialing Sr. Manager · (719) 300-5933
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1477359628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDenturistTaxonomy 122400000X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental AssistantTaxonomy 126800000X
11830 NE 128TH ST STE 201, Kirkland, WA 98034

Other Names 2

Doing Business AsElite Dental Studio
Doing Business AsOptima Dental Spa

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

Accepted Insurance

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 Mountain Smiles - Kirkland Dental PLLC's NPI number?

The NPI number for Mountain Smiles - Kirkland Dental PLLC is 1477359628. It was assigned to this organization in the NPPES registry on February 19, 2025. The provider is doing business as Elite Dental Studio and Optima Dental Spa.

Where is Mountain Smiles - Kirkland Dental PLLC located?

Mountain Smiles - Kirkland Dental PLLC is located at 11830 NE 128th St Ste 201, Kirkland, WA 98034. The listed phone number is (425) 823-6820.

What is Mountain Smiles - Kirkland Dental PLLC's specialty?

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

What insurance does Mountain Smiles - Kirkland Dental PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mountain Smiles - Kirkland Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Smiles - Kirkland Dental PLLC was last updated on May 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.