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WALLA WALLA PEDIATRIC DENTISTRY
NPI 1629491766
Dentist - Pediatric Dentistry in Walla Walla, WA

Active since January 25, 2014
614 E ALDER ST, SUITE 6, WALLA WALLA, WA 99362(509) 522-0555 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walla Walla Pediatric Dentistry NPPES

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

WALLA WALLA PEDIATRIC DENTISTRY (NPI 1629491766) is a healthcare organization registered as a pediatric dentistry in Walla Walla, Washington and active in the NPI registry since January 2014. The organization lists Stacey Rae Kutsch, Owner Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1629491766
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTACEY KUTSCH, D.D.S., M.S., PLLC
Location Address614 E ALDER ST, SUITE 6Walla Walla, WA 99362-2073
Mailing Address614 E Alder St, Suite 6Walla Walla, WA 99362-2073 · (509) 522-0555
Phone(509) 522-0555
Organization SubpartNo
Authorized OfficialStacey Rae KutschOwner Pediatric Dentist · (509) 378-2520
Enumeration DateJanuary 25, 2014
Last NPPES UpdateMarch 7, 2023
✔ NPI 1629491766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE00010428
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License DE00010428 (WA)
614 E ALDER ST, Walla Walla, WA 99362
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Other Names 1

Doing Business AsWalla Walla Pediatric Dentistry

Other Identifiers 3

OtherCS10000430WA · Conscious Sedation Permit
Medicaid5050265WA
OtherDE00010428WA · Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. JAMES CHRISTOPHER PARRISH D.D.S.
Dentist (General Practice)
614 E ALDER ST, STE 4
WALLA WALLA, WA 99362
Walla Walla County (509) 522-0501
ELIZABETH ANN KREGER RDH
Dental Hygienist
614 E ALDER ST, STE 4
WALLA WALLA, WA 99362
Walla Walla County (509) 522-0501
DR. HERBERT C EDWARDS DDS
Dentist (General Practice)
614 E ALDER ST, SUITE #4
WALLA WALLA, WA 99362
Walla Walla County (509) 522-0501
DR. HARRY WALTER WIESSNER O.D.
Optometrist
614 E ALDER ST, SUITE #1
WALLA WALLA, WA 99362
Walla Walla County (509) 527-3937
DR. DONALD CHARLES BASSHAM D.D.S.
Dentist (General Practice)
614 E ALDER ST, SUITE #6
WALLA WALLA, WA 99362
Walla Walla County (509) 526-7012
DR. STEVEN J. DAVIS O.D.
Optometrist
614 E ALDER ST, SUITE #1
WALLA WALLA, WA 99362
Walla Walla County (509) 529-9660
RYAN LADELL WOOD D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
614 E ALDER ST, SUITE 2
WALLA WALLA, WA 99362
Walla Walla County (509) 522-0790
DR. GREGORY FINK DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
614 E ALDER ST, SUITE 2
WALLA WALLA, WA 99362
Walla Walla County (509) 522-0790

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 Stacey Kutsch, D.D.S., M.S., PLLC's NPI number?

The NPI number for Stacey Kutsch, D.D.S., M.S., PLLC is 1629491766. It was assigned to this organization in the NPPES registry on January 25, 2014. The provider is doing business as Walla Walla Pediatric Dentistry.

Where is Stacey Kutsch, D.D.S., M.S., PLLC located?

Stacey Kutsch, D.D.S., M.S., PLLC is located at 614 E Alder St Suite 6, Walla Walla, WA 99362. The listed phone number is (509) 522-0555.

What is Stacey Kutsch, D.D.S., M.S., PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Stacey Kutsch, D.D.S., M.S., PLLC accept?

Health plans from UnitedHealthcare list Stacey Kutsch, D.D.S., M.S., 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 Stacey Kutsch, D.D.S., M.S., PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.