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LAKE STEVENS MODERN DENTISTRY
NPI 1811490550
Dentist in Lake Stevens, WA

Active since March 08, 2018
907 FRONTIER CIRCLE E, SUITE 110, LAKE STEVENS, WA 98258(425) 697-9219(425) 697-9228 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lake Stevens Modern Dentistry NPPES

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

LAKE STEVENS MODERN DENTISTRY (NPI 1811490550) is a healthcare organization registered as a dentist in Lake Stevens, Washington and active in the NPI registry since March 2018. The organization lists Dulce Gomez, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1811490550
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWASHINGTON DENTAL CORPORATION PC
Location Address907 FRONTIER CIRCLE E, SUITE 110Lake Stevens, WA 98258
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8500 · Fax (303) 952-0892
Phone(425) 697-9219
Fax(425) 697-9228
Organization SubpartNo
Authorized OfficialDulce GomezCredentialing Coordinator · (714) 845-8701
Enumeration DateMarch 8, 2018
✔ NPI 1811490550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
907 FRONTIER CIRCLE E, Lake Stevens, WA 98258
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Other Names 1

Doing Business AsLake Stevens Modern 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Premera Blue Cross Blue Shield of Alaska.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 Washington Dental Corporation PC's NPI number?

The NPI number for Washington Dental Corporation PC is 1811490550. It was assigned to this organization in the NPPES registry on March 8, 2018. The provider is doing business as Lake Stevens Modern Dentistry.

Where is Washington Dental Corporation PC located?

Washington Dental Corporation PC is located at 907 Frontier Circle E Suite 110, Lake Stevens, WA 98258. The listed phone number is (425) 697-9219.

What is Washington Dental Corporation PC's specialty?

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

What insurance does Washington Dental Corporation PC accept?

Health plans from Humana and Premera Blue Cross Blue Shield of Alaska list Washington Dental Corporation PC 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 Washington Dental Corporation PC was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.