OrganizationActive
South Lake Family Dentistry
NPI 1275942518 · Dentist · Lake Stevens, WA
South Lake Family Dentistry is a Dentist organization in Lake Stevens, WA (NPI 1275942518).
Provider details
- NPI number
- 1275942518
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Todd Miesel, Owner(425) 334-9600
- License
- 7981 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
10515 20th St Se
Suite 201
Lake Stevens, WA 98258-4764
Phone: (425) 334-9600
Fax: (425) 334-9900
Street-level locationGet directions
Mailing address
10515 20th St Se
Lake Stevens, WA 98258-4764
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2014-08-12
Frequently asked questions
- What is South Lake Family Dentistry's NPI number?
- South Lake Family Dentistry's National Provider Identifier (NPI) is 1275942518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Family Dentistry?
- South Lake Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is South Lake Family Dentistry located?
- South Lake Family Dentistry's practice location on file with NPPES is 10515 20th St Se, Lake Stevens, WA 98258-4764.
- What is South Lake Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for South Lake Family Dentistry is (425) 334-9600.
- Who is the authorized official for South Lake Family Dentistry?
- The authorized official listed on South Lake Family Dentistry's NPPES record is Todd Miesel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Family Dentistry's NPI active?
- Yes — South Lake Family Dentistry's NPI (1275942518) is active in the NPPES registry as of the last update on 2014-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.