EASTSIDE PEDIATRIC DENTAL GROUP
NPI 1831423292
Dentist - Pediatric Dentistry in Issaquah, WA

Active since October 01, 2009
185 NE GILMAN BLVD, ISSAQUAH, WA 98027(425) 392-4048(425) 557-1138 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Pediatric Dental Group NPPES

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

EASTSIDE PEDIATRIC DENTAL GROUP (NPI 1831423292) is a healthcare organization registered as a pediatric dentistry in Issaquah, Washington and active in the NPI registry since October 2009. The organization lists Lanette Mcintosh, Regional Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1831423292
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Location Address185 NE GILMAN BLVDIssaquah, WA 98027-2937
Mailing Address185 Ne Gilman BlvdIssaquah, WA 98027-2937 · (425) 392-4048 · Fax (425) 557-1138
Fax(425) 557-1138
Organization SubpartNo
Authorized OfficialLanette McintoshRegional Operations Manager · (425) 396-1011
Enumeration DateOctober 1, 2009
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1831423292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in WA · 6912 Licensed in WA · 6870 Licensed in WA · 8235
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.
185 NE GILMAN BLVD, Issaquah, WA 98027

Other Names 1

Doing Business AsEastside Pediatric Dental Group

Other Identifiers 1

Medicaid5017967WA

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 2

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

Dentist (Pediatric Dentistry)
185 NE GILMAN BLVD
ISSAQUAH, WA 98027
Dentist (Pediatric Dentistry)
185 NE GILMAN BLVD
ISSAQUAH, WA 98027

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 House, Lee, Mast, Mcdonald And Nelson, PC's NPI number?

The NPI number for House, Lee, Mast, Mcdonald And Nelson, PC is 1831423292. It was assigned to this organization in the NPPES registry on October 1, 2009. The provider is doing business as Eastside Pediatric Dental Group.

Where is House, Lee, Mast, Mcdonald And Nelson, PC located?

House, Lee, Mast, Mcdonald And Nelson, PC is located at 185 NE Gilman Blvd, Issaquah, WA 98027. The listed phone number is (425) 392-4048.

What is House, Lee, Mast, Mcdonald And Nelson, PC'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 House, Lee, Mast, Mcdonald And Nelson, PC was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.