K L EVERETT DDS PLLC (NPI# 1548400187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548400187 |
| Entity Type | Organization |
| Organization Name | K L EVERETT DDS PLLC |
| Other Organization Name | GRANITE FALLS DENTAL CARE |
| Practice Address |
207 E Stanley St Suite B Granite Falls WA 98252 |
| Practice Telephone | 3606914100 |
| Practice Fax Number | 3606916300 |
| Mailing Telephone | (360) 691-4100 |
| Mailing Fax Number | 3606916300 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | DR. KAREN EVERETT (OWNER DENTIST) |
| Authorized Official Telephone | 3606914100 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Granite Falls Dental Care | Doing Business As Name - Organization |
| Street Address |
207 E STANLEY ST SUITE B |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| 1467594481 | Julie Tinsley | Massage Therapist | 106 S. Granite Ave, Granite Falls, WA 98252 | 2007-02-13 |
| Find all providers in zip 98252 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521400 | David A Gore Dds Pllc | Clinic/Center | 405 S Granite Ave, Granite Falls, WA 98252-8474 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
Please comment or provide details below to improve the information on K L EVERETT DDS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.