Organization
GLACIER ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN NOBLITT DMD (OWNER DENTIST)
(425) 293-1372
Entity
Organization
Contact information
Practice address
515 HWY 9 STE 102, LAKE STEVENS, WA 98258-8523
(425) 439-7446
Mailing address
7718 19TH PL SE, LAKE STEVENS, WA 98258-3212
(425) 293-1375
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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