OrganizationActive
Lakeside Endodontics
NPI 1104056910 · Endodontics · Everett, WA
Lakeside Endodontics is a Endodontics organization in Everett, WA (NPI 1104056910).
Provider details
- NPI number
- 1104056910
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Shahin Etemadi, President(425) 357-8747
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
10025 19th Ave Se Ste 202
Everett, WA 98208-4275
Phone: (425) 357-8747
Fax: (425) 337-6190
Street-level locationGet directions
Mailing address
10025 19th Ave Se Ste 202
Everett, WA 98208-4275
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Lakeside Endodontics's NPI number?
- Lakeside Endodontics's National Provider Identifier (NPI) is 1104056910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Endodontics?
- Lakeside Endodontics is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Lakeside Endodontics located?
- Lakeside Endodontics's practice location on file with NPPES is 10025 19th Ave Se Ste 202, Everett, WA 98208-4275.
- What is Lakeside Endodontics's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Endodontics is (425) 357-8747.
- Who is the authorized official for Lakeside Endodontics?
- The authorized official listed on Lakeside Endodontics's NPPES record is Shahin Etemadi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Endodontics's NPI active?
- Yes — Lakeside Endodontics's NPI (1104056910) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.