DR. MARY JANE LUNGREN DDS NPI 1134269277

NPI Information

  • NPI: 1134269277
  • Provider Name: DR. MARY JANE LUNGREN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 742 CAMANO AVE
    SUITE 101A
    LANGLEY, WA
    ZIP 98260
  • Phone: (360) 221-6373

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NPI Details

DR. Mary Jane Lungren, DDS is a general practice dentist in Langley, WA. The provider is 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. DR. Mary Jane Lungren, DDS NPI is 1134269277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

742 CAMANO AVE
SUITE 101A
LANGLEY, WA
ZIP 98260-577
Phone: (360) 221-6373

The enumeration date for this NPI number is 2/7/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDE00006325WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15047121MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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