Mountain Smiles, PLLC
NPI 1083410237 · Dentist · Lacey, WA
Mountain Smiles, PLLC is a Dentist organization in Lacey, WA (NPI 1083410237).
Provider details
- NPI number
- 1083410237
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Angel Gimenez, Credentialing Manager(719) 300-5933
Specialties & taxonomies
Dental Providers
- Dental Anesthesiology1223D0004X
Dental Providers
- Endodontics1223E0200X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is Mountain Smiles, PLLC's NPI number?
- Mountain Smiles, PLLC's National Provider Identifier (NPI) is 1083410237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Smiles, PLLC?
- Mountain Smiles, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mountain Smiles, PLLC located?
- Mountain Smiles, PLLC's practice location on file with NPPES is 8765 Tallon Ln Ne # 1, Lacey, WA 98516-6654.
- What is Mountain Smiles, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Smiles, PLLC is (360) 577-0566.
- Who is the authorized official for Mountain Smiles, PLLC?
- The authorized official listed on Mountain Smiles, PLLC's NPPES record is Angel Gimenez, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Smiles, PLLC's NPI active?
- Yes — Mountain Smiles, PLLC's NPI (1083410237) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.