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PUGET SOUND PEDIATRIC DENTISTRY
NPI 1679898902
Dentist - Pediatric Dentistry in Monroe, WA

Active since March 30, 2010
14090 FRYELANDS BLVD SE STE 348, MONROE, WA 98272(360) 863-8700(360) 822-7184 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Jan 31, 2017 (2 updates tracked since 2017).

About Puget Sound Pediatric Dentistry NPPES

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

PUGET SOUND PEDIATRIC DENTISTRY (NPI 1679898902) is a healthcare organization registered as a pediatric dentistry in Monroe, Washington and active in the NPI registry since March 2010. The organization lists Jessica R Knight, Account Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1679898902
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePSPD - MONROE, PLLC
Location Address14090 FRYELANDS BLVD SE STE 348Monroe, WA 98272-2760
Mailing Address14090 Fryelands Blvd Se Ste 348Monroe, WA 98272-2760 · (360) 863-8700 · Fax (360) 822-7184
Phone(360) 863-8700
Fax(360) 822-7184
Organization SubpartYesParent: Lugo Dmd Marysville Ps
Authorized OfficialJessica R KnightAccount Receivable Manager · (360) 863-8700
Enumeration DateMarch 30, 2010
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1679898902 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 · DE00009918
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.
14090 FRYELANDS BLVD SE STE 348, Monroe, WA 98272
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Other Names 1

Doing Business AsPuget Sound Pediatric Dentistry

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DUSAYANT PATEL DMD
Dentist (Pediatric Dentistry)
14090 FRYELANDS BLVD SE STE 348
MONROE, WA 98272
Snohomish County (360) 863-8700

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 Pspd - Monroe, PLLC's NPI number?

The NPI number for Pspd - Monroe, PLLC is 1679898902. It was assigned to this organization in the NPPES registry on March 30, 2010. The provider is doing business as Puget Sound Pediatric Dentistry.

Where is Pspd - Monroe, PLLC located?

Pspd - Monroe, PLLC is located at 14090 Fryelands Blvd SE Ste 348, Monroe, WA 98272. The listed phone number is (360) 863-8700.

What is Pspd - Monroe, PLLC'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 Pspd - Monroe, PLLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.