Pspd - Lake Stevens Pllc
Pediatric Dental Clinic
9421 N. Davies Road #a, Lake Stevens
Washington, 98258
425-367-4149 425-609-4530
Maps & DirectionsPspd - Lake Stevens Pllc is a Pediatric Dental Clinic in Lake Stevens, Washington. This organization is also known as sub part of Lugo Dmd Marysville Ps. It is located at 9421 N. Davies Road #a, Lake Stevens, WA and its contact number is 425-367-4149. The authorized person for Pspd - Lake Stevens Pllc is Mrs. Jessica R Knight
who is Account Receivable Manager of the clinic and their contact number is 425-367-4149. The primary license number for Pspd - Lake Stevens Pllc is DE00009918 (Pediatric Dentistry) in Washington.
Pspd - Lake Stevens Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pspd - Lake Stevens Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pspd - Lake Stevens Pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 9421 N. Davies Road #a, Lake Stevens,
Washington, 98258 |
| Phone: | 425-367-4149 |
| Fax: | 425-609-4530 |
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: | Mrs. Jessica R Knight |
| Position: | Account Receivable Manager |
| Contact Number: | 425-367-4149 |
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 Pspd - Lake Stevens Pllc clinic are as mentioned below.
| NPI Number: | 1154675064 |
| Parent Organization: | Lugo Dmd Marysville Ps |
| NPI Enumeration Date: | 30 Oct, 2012 |
| NPI Last Update On: | 11 Apr, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pspd - Lake Stevens Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DE00009918 | Washington | Primary | |
| Pediatric Dentistry | | | 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: | Pspd - Lake Stevens Pllc
9421 N. Davies Road #a,
Lake Stevens, Washington |
| Zip: | 98258 |
| Phone Number: | 425-367-4149 |
| Fax Number: | 425-609-4530 |
Patients can reach Pspd - Lake Stevens Pllc at
9421 N. Davies Road #a, Lake Stevens, Washington or can
call to book an appointment on 425-367-4149.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.