OrganizationActive
Pspd - Monroe, PLLC
NPI 1679898902 · Pediatric Dentistry · Monroe, WA
Provider details
- NPI number
- 1679898902
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Lugo DMD Marysville Ps
- Organization subpart
- Yes
- Authorized official
- Jessica Knight, Account Receivable Manager(360) 863-8700
- License
- DE00009918 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 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
14090 Fryelands Blvd Se Ste 348
Monroe, WA 98272-2760
Phone: (360) 863-8700
Fax: (360) 822-7184
Street-level locationGet directions
Mailing address
14090 Fryelands Blvd Se Ste 348
Monroe, WA 98272-2760
Other names (DBA / former)
- Doing business as
- Puget Sound Pediatric Dentistry
- Doing business as
- Puget Sound Pediatric Dentistry
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2022-04-11
- Certified
- 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.