DR. LEIF ROGER GERRITZEN DMD
NPI 1790203339
Dentist - General Practice in Lacey, WA

Active since September 04, 2017
669 WOODLAND SQUARE LOOP SE, LACEY, WA 98503(360) 359-4860 Get Directions Write a Review

NPPES record last updated: September 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Leif Roger Gerritzen Dmd NPPES

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

DR. LEIF ROGER GERRITZEN DMD (NPI 1790203339) is an individual general practice provider in Lacey, Washington, licensed in Washington (DE60773945) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1790203339
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LEIF ROGER GERRITZENCredential: DMD
Location Address669 WOODLAND SQUARE LOOP SELacey, WA 98503-1038
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0502 · Fax (206) 764-0516
Sole ProprietorNo
Enumeration DateSeptember 4, 2017
NPI 1790203339 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 · DE60773945
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.
669 WOODLAND SQUARE LOOP SE, Lacey, WA 98503

Accepted Insurance

Other Providers at the Same Location NPPES 19

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

Physician Assistant
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Family)
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dentist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Radiology (Diagnostic Radiology)
669 WOODLAND SQUARE LOOP SE, STE D
LACEY, WA 98503
Physical Therapist
669 WOODLAND SQUARE LOOP SE, SUITE C
LACEY, WA 98503
Marriage & Family Therapist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Physical Therapist
669 WOODLAND SQUARE LOOP SE, SUITE C
LACEY, WA 98503
Clinic/Center (Federally Qualified Health Center (FQHC))
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503

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 Leif Gerritzen's NPI number?

The NPI number for Leif Gerritzen is 1790203339. It was assigned to this individual provider in the NPPES registry on September 4, 2017.

Where is Leif Gerritzen located?

Leif Gerritzen practices at 669 Woodland Square Loop SE, Lacey, WA 98503. The listed phone number is (360) 359-4860.

What is Leif Gerritzen's specialty?

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

What insurance does Leif Gerritzen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Leif Gerritzen 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 Leif Gerritzen was last updated on September 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.