Lakeside Endodontics

Endodontics · Everett, WA

Organization Active NPI

NPI number 1104056910

Practice location

10025 19TH Ave SE Ste 202
Everett, WA 98208-4275
Phone
(425) 357-8747
Fax
(425) 337-6190

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NPI record

NPI
1104056910
Entity type
Organization (Type 2)
Enumeration date
July 15, 2009
Last updated
April 14, 2026
Certified
April 14, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X — —

Authorized official

Name
Dr. Shahin Etemadi, D.D.S., M.S.D.
Title
President
Phone
(425) 357-8747

About Lakeside Endodontics

Lakeside Endodontics is a healthcare organization registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 10025 19TH Ave SE Ste 202, Everett, WA 98208-4275. The NPI number 1104056910 was assigned on July 15, 2009 and the record was last updated on April 14, 2026.

The authorized official for this organization is Dr. Shahin Etemadi, D.D.S., M.S.D., President.

Frequently asked questions

What is the NPI number of Lakeside Endodontics?

The NPI number is 1104056910.

What is the phone number of Lakeside Endodontics?

The phone number listed for the practice location is (425) 357-8747.

Where is Lakeside Endodontics located?

10025 19TH Ave SE Ste 202, Everett, WA 98208-4275.

What is the taxonomy code for Lakeside Endodontics?

The primary taxonomy code is 1223E0200X – Endodontics.

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.

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