OrganizationActive
Glacier Oral & Maxillofacial Surgery
NPI 1083553630 · Oral and Maxillofacial Surgery Clinic/Center · Lake Stevens, WA
Provider details
- NPI number
- 1083553630
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Benjamin Noblitt, Owner Dentist
Mailing address
7718 19th Pl Se
Lake Stevens, WA 98258-3212
Registry dates
- Enumerated
- 2026-03-27
- Last updated
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.