Philip Arthur Paulsen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00004965 Issued in WA

Practice address

4403 76TH St NE
Marysville, WA 98270-3725

Phone

(360) 659-6774

Fax

(360) 653-6495

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Philip Paulsen DDS

  • Dentist
  • Marysville, WA
  • NPI 1407007230
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306885850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703725",
            "telephone_number": "360-659-6774",
            "fax_number": "360-653-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703725",
            "telephone_number": "360-659-6774",
            "fax_number": "360-653-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "PHILIP",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00004965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS",
            "identifier": "4965",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "5014006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristol Parker, LICSW
• Steve Parker
• Pamela R Paterno, LMP
• Candice Dawn Patterson
• Sharon Elaine Patterson, OTR/L CHT
• Dylan Pearce
• Leslie A Peck, LCSW,LICSW
• John Edward Peckenpaugh, PT
• Henry Nmi Pedack, OD
• Jessica Marie Peden

• Dentist in Marysville, WA
• Providers in Marysville, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.