OrganizationActive
Washington Dental Corporation PC
NPI 1811490550 · Dentist · Lake Stevens, WA
Washington Dental Corporation PC is a Dentist organization in Lake Stevens, WA (NPI 1811490550).
Provider details
- NPI number
- 1811490550
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Dulce Gomez, Credentialing Coordinator(714) 845-8701
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
907 Frontier Circle E
Suite 110
Lake Stevens, WA 98258
Phone: (425) 697-9219
Fax: (425) 697-9228
Street-level locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Lake Stevens Modern Dentistry
Registry dates
- Enumerated
- 2018-03-08
- Last updated
- 2018-03-08
Frequently asked questions
- What is Washington Dental Corporation PC's NPI number?
- Washington Dental Corporation PC's National Provider Identifier (NPI) is 1811490550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Washington Dental Corporation PC?
- Washington Dental Corporation PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Washington Dental Corporation PC located?
- Washington Dental Corporation PC's practice location on file with NPPES is 907 Frontier Circle E, Lake Stevens, WA 98258.
- What is Washington Dental Corporation PC's phone number?
- The practice phone number listed in the NPPES registry for Washington Dental Corporation PC is (425) 697-9219.
- Who is the authorized official for Washington Dental Corporation PC?
- The authorized official listed on Washington Dental Corporation PC's NPPES record is Dulce Gomez, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Washington Dental Corporation PC's NPI active?
- Yes — Washington Dental Corporation PC's NPI (1811490550) is active in the NPPES registry as of the last update on 2018-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.