# PUGET SOUND DENTAL PROFESSIONALS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Everett Dental Professionals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609443407
- **Authorized official:** JESSICA KNIGHT (CREDENTIALING MANAGER)
- **Authorized official phone:** (360) 659-8100

## Contact information

- **Practice address:** 3224 COLBY AVE STE A, EVERETT, WA 98201-4383
- **Practice address phone:** (425) 259-3505
- **Mailing address:** 3224 COLBY AVE STE A, EVERETT, WA 98201-4383
- **Mailing address phone:** (425) 259-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 06/09/2021