PSPD - MONROE, PLLC (NPI# 1679898902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679898902 |
| Entity Type | Organization |
| Organization Name | PSPD - MONROE, PLLC |
| Other Organization Name | PUGET SOUND PEDIATRIC DENTISTRY |
| Practice Address |
14090 Fryelands Blvd Se Ste 348 Monroe WA 98272-2760 |
| Practice Telephone | 3608638700 |
| Practice Fax Number | 3608227184 |
| Mailing Telephone | 3608638700 |
| Mailing Fax Number | 3608227184 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | MISS TRACY E. SUNDBY (BUSINESS MANAGER) |
| Authorized Official Telephone | 3608638700 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUGO DMD MARYSVILLE PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00009918 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Puget Sound Pediatric Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PSPD - MONROE, PLLC | 14090 Fryelands Blvd Se, Suite 348, Monroe, WA 98272-2760 |
| Street Address |
14090 FRYELANDS BLVD SE STE 348 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366682361 | Dr. P.l. Jeffries and Associates, Pa | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-03 |
| 1659524478 | Dayna Olstein | Dentist | 1200 State Route 208 Ste 4, Monroe, NY 10950-4649 | 2008-10-23 |
| 1154527018 | Katina Rene Beverly | Dentist | 1203 N 5th St, Monroe, LA 71201-5317 | 2007-06-26 |
| 1578052635 | Marcela Mujica Dmd II Pllc | Dentist | 3007 Wesley Chapel Stouts Rd Ste A, Monroe, NC 28110-7941 | 2018-05-04 |
| 1154562528 | Melissa Sharee Jackson | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-16 |
| 1588675755 | David M Knaus | Dentist | 324 Elm St, Ste 101b, Monroe, CT 06468 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807890 | Plateau Kids Dentistry, LLC | Dentist | 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 | 2020-07-05 |
| 1528603503 | Ellen Polsky Dds and Bobby Virk Dmd, Ps | Dentist | 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 | 2019-11-13 |
| 1942843552 | Laura Stewart Dds Pllc | Dentist | 6821 Ne 181st St, Kenmore, WA 98028-5034 | 2019-10-26 |
| 1639736119 | Southcenter Children's Dentistry | Dentist | 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 | 2019-05-21 |
| 1770147001 | Kaitlin Neste Pllc | Dentist | 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 | 2019-04-22 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1497248017 | Jinju Song Dmd Pllc | Dentist | 9707 Ne 119th Way, Kirkland, WA 98034-8955 | 2018-06-08 |
| 1861999864 | Peter Douglas | Dentist | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2018-04-07 |
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1831624402 | Minh Dau, Dds and Raymond Park, Dds Pllc | Dentist | 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.