PSPD - LAKE STEVENS PLLC NPI 1154675064

NPI Information

  • NPI: 1154675064
  • Provider Name: PSPD - LAKE STEVENS PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: PUGET SOUND PEDIATRIC DENTISTRY
  • Address: 9421 N. DAVIES ROAD #A
    LAKE STEVENS, WA
    ZIP 98258
  • Phone: (425) 367-4149

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NPI Details

PSPD - LAKE STEVENS PLLC is a pediatric dentistry dentist in Lake Stevens, WA. The provider is 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. PSPD - LAKE STEVENS PLLC NPI is 1154675064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Puget Sound Pediatric Dentistry.

The provider's business location address is:

9421 N. DAVIES ROAD #A
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 367-4149
Fax: (425) 609-4530

The provider's authorized official is Jessica R Knight .
The authorized official title is Account Receivable Manager and has the following contact phone number (425) 367-4149.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 4/11/2022.

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
11223P0221XDentistPediatric DentistryNo
21223P0221XDentistPediatric DentistryDE00009918WASHINGTONYes

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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