OrganizationActive
Peter W Jacobsen DDS PLLC
NPI 1053480988 · General Practice Dentistry · Maple Valley, WA
Peter W Jacobsen DDS PLLC is a General Practice Dentistry organization in Maple Valley, WA (NPI 1053480988).
Provider details
- NPI number
- 1053480988
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Julie Cielo, Manager(425) 413-8525
- License
- DE00005267 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27016 Maple Valley Blk Diamond Rd Se
Maple Valley, WA 98038
Phone: (425) 413-8525
Fax: (425) 413-8599
Approximate (ZIP-level) locationGet directions
Mailing address
27016 Maple Valley Blk Diamond Rd Se
Maple Valley, WA 98038
Other names (DBA / former)
- Doing business as
- Maple Valley Family Dental Care
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2008-08-01
Frequently asked questions
- What is Peter W Jacobsen DDS PLLC's NPI number?
- Peter W Jacobsen DDS PLLC's National Provider Identifier (NPI) is 1053480988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peter W Jacobsen DDS PLLC?
- Peter W Jacobsen DDS PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Peter W Jacobsen DDS PLLC located?
- Peter W Jacobsen DDS PLLC's practice location on file with NPPES is 27016 Maple Valley Blk Diamond Rd Se, Maple Valley, WA 98038.
- What is Peter W Jacobsen DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Peter W Jacobsen DDS PLLC is (425) 413-8525.
- Who is the authorized official for Peter W Jacobsen DDS PLLC?
- The authorized official listed on Peter W Jacobsen DDS PLLC's NPPES record is Julie Cielo, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peter W Jacobsen DDS PLLC's NPI active?
- Yes — Peter W Jacobsen DDS PLLC's NPI (1053480988) is active in the NPPES registry as of the last update on 2008-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.