Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Endodontics

Organization Endodontics · NPI 1104056910

Lakeside Endodontics is an Endodontics in Everett, Washington. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

10025 19th Ave SE Ste 202
Everett, WA 98208-4275
Phone: (425) 357-8747
Fax: (425) 337-6190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1104056910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahin Etemadi — President · (425) 357-8747
NPI enumeratedJuly 15, 2009
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address10025 19th Ave Se Ste 202, Everett, WA 98208-4275

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