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

Pspd - Lake Stevens PLLC

Organization Pediatric Dentistry · NPI 1154675064

Pspd - Lake Stevens PLLC is a Pediatric Dentistry in Lake Stevens, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9421 N Davies Rd #A
Lake Stevens, WA 98258
Phone: (425) 367-4149
Fax: (425) 609-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DE00009918 (WA)
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1154675064
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLugo DMD Marysville Ps
Authorized official Jessica Knight — Account Receivable Manager · (425) 367-4149
Other names Puget Sound Pediatric Dentistry; Puget Sound Pediatric Dentistry
NPI enumeratedOctober 30, 2012
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address9421 N. Davies Road #A, Lake Stevens, WA 98258

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