Mountain Smiles, PLLC
Dentist · Lacey, WA
Practice location
8765 Tallon Ln NE # 1Lacey, WA 98516-6654
- Phone
- (360) 577-0566
NPI record
- NPI
- 1083410237
- Entity type
- Organization (Type 2)
- Enumeration date
- February 19, 2025
- Last updated
- February 27, 2025
- Certified
- February 27, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
— | — |
| Dental Anesthesiology | 1223D0004X |
— | — |
| Endodontics | 1223E0200X |
— | — |
| General Practice Dentistry | 1223G0001X |
— | — |
| Periodontics | 1223P0300X |
— | — |
| Prosthodontics | 1223P0700X |
— | — |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
— | — |
| Denturist | 122400000X |
— | — |
| Dental Hygienist | 124Q00000X |
— | — |
| Dental Assistant | 126800000X |
— | — |
Authorized official
- Name
- Angel Gimenez
- Title
- Credentialing Manager
- Phone
- (719) 300-5933
About Mountain Smiles, PLLC
Mountain Smiles, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8765 Tallon Ln NE # 1, Lacey, WA 98516-6654. The NPI number 1083410237 was assigned on February 19, 2025 and the record was last updated on February 27, 2025.
The authorized official for this organization is Angel Gimenez, Credentialing Manager.
Frequently asked questions
What is the NPI number of Mountain Smiles, PLLC?
The NPI number is 1083410237.
What is the phone number of Mountain Smiles, PLLC?
The phone number listed for the practice location is (360) 577-0566.
Where is Mountain Smiles, PLLC located?
8765 Tallon Ln NE # 1, Lacey, WA 98516-6654.
What is the taxonomy code for Mountain Smiles, PLLC?
The primary taxonomy code is 122300000X – Dentist; 9 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Lacey
- Ross Jagger Sapp, D.D.S.4535 Lacey Blvd SE
- Patrice Mary Yoder, DDS669 Woodland Square Loop SE
- Jason Sholly909 Sleater Kinney Rd SE Ste 3
- Sonya R. Whisler, D.D.S.1607 Ruddell Rd SE
- Herbert Todd DDS4445 Lacey Blvd SE
- Kevin P. Nielsen, DDS719 Sleater Kinney Rd SE Ste 130
- Nisqually Reach Family Dentistry2521 Marvin Rd NE Ste G
- Sherri Lynn Young, D.D.S.130 Marvin Rd SE
- David P. Ragsdale, DDS719 Sleater Kinney Rd SE
- Austin R. Smith, DDS5120 Corporate Center Ct SE
- Reza Tahernia, D.M.D.8050 Freedon Lane NE
- Lee J Edwards DDS PLLC1450 Northwest Ln SE