OrganizationActive
Pspd - Lake Stevens PLLC
NPI 1154675064 · Pediatric Dentistry · Lake Stevens, WA
Pspd - Lake Stevens PLLC is a Pediatric Dentistry organization in Lake Stevens, WA (NPI 1154675064).
Provider details
- NPI number
- 1154675064
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Lugo DMD Marysville Ps
- Organization subpart
- Yes
- Authorized official
- Jessica Knight, Account Receivable Manager(425) 367-4149
Specialties & taxonomies
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
9421 N. Davies Road #a
Lake Stevens, WA 98258
Phone: (425) 367-4149
Fax: (425) 609-4530
Street-level locationGet directions
Mailing address
9421 N. Davies Road #a
Lake Stevens, WA 98258
Other names (DBA / former)
- Doing business as
- Puget Sound Pediatric Dentistry
- Doing business as
- Puget Sound Pediatric Dentistry
Registry dates
- Enumerated
- 2012-10-30
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Frequently asked questions
- What is Pspd - Lake Stevens PLLC's NPI number?
- Pspd - Lake Stevens PLLC's National Provider Identifier (NPI) is 1154675064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pspd - Lake Stevens PLLC?
- Pspd - Lake Stevens PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pspd - Lake Stevens PLLC located?
- Pspd - Lake Stevens PLLC's practice location on file with NPPES is 9421 N. Davies Road #a, Lake Stevens, WA 98258.
- What is Pspd - Lake Stevens PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pspd - Lake Stevens PLLC is (425) 367-4149.
- Who is the authorized official for Pspd - Lake Stevens PLLC?
- The authorized official listed on Pspd - Lake Stevens PLLC's NPPES record is Jessica Knight, Account Receivable Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pspd - Lake Stevens PLLC's NPI active?
- Yes — Pspd - Lake Stevens PLLC's NPI (1154675064) is active in the NPPES registry as of the last update on 2022-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.