Mountain Smiles, Pllc is a Dental Anesthesiology Clinic in Lacey, Washington. It is located at 8765 Tallon Ln Ne # 1, Lacey, WA and its contact number is 360-577-0566. The authorized person for Mountain Smiles, Pllc is Angel Gimenez
who is Credentialing Manager of the clinic and their contact number is 719-300-5933.
Mountain Smiles, Pllc Clinic dentists have successfully completed an accredited postdoctoral anesthesiology residency training program of two or more years duration, in accord with Commission on Dental AccreditationÃs Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Complete Clinic Profile:
Mountain Smiles, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mountain Smiles, Pllc |
| Specialization: | Dental Anesthesiology |
| Clinic Address: | 8765 Tallon Ln Ne # 1, Lacey,
Washington, 98516-6654 |
| Phone: | 360-577-0566 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Angel Gimenez |
| Position: | Credentialing Manager |
| Contact Number: | 719-300-5933 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mountain Smiles, Pllc clinic are as mentioned below.
| NPI Number: | 1083410237 |
| NPI Enumeration Date: | 19 Feb, 2025 |
| NPI Last Update On: | 27 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Smiles, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
| Dentist Anesthesiologist | | | Secondary | |
| Endodontics | | | Secondary | |
| General Practice | | | Secondary | |
| Periodontics | | | Secondary | |
| Prosthodontics | | | Secondary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
| Denturist | | | Secondary | |
| Dental Hygienist | | | Secondary | |
| Dental Assistant | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mountain Smiles, Pllc
8765 Tallon Ln Ne # 1,
Lacey, Washington |
| Zip: | 98516-6654 |
| Phone Number: | 360-577-0566 |
Patients can reach Mountain Smiles, Pllc at
8765 Tallon Ln Ne # 1, Lacey, Washington or can
call to book an appointment on 360-577-0566.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.