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

Mountain Smiles, PLLC

Organization Dentist · NPI 1083410237

Mountain Smiles, PLLC is a Dentist in Lacey, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
10
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8765 Tallon Ln NE # 1
Lacey, WA 98516-6654
Phone: (360) 577-0566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Anesthesiology Taxonomy 1223D0004X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Denturist Taxonomy 122400000X
Dental Hygienist Taxonomy 124Q00000X
Dental Assistant Taxonomy 126800000X

Record details

NPI number1083410237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Gimenez — Credentialing Manager · (719) 300-5933
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address8765 Tallon Ln Ne # 1, Lacey, WA 98516-6654

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