Active NPI
Dale C Bobb, DDS
- Dentist
- Lakewood, WA
National Provider Identifier
1629052345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00004902
- Practice address
- 9618 59TH Ave SW
Lakewood, WA 98499-2799 - Phone
- (253) 581-2777
- Fax
- (253) 582-0693
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00004902 | WA | Primary |
Addresses
Primary practice location
9618 59TH Ave SW
Lakewood, WA 98499-2799
Mailing address
9618 59TH Ave SW
Lakewood, WA 98499-2799
Phone (253) 581-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00004902 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629052345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9618 59TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992799",
"telephone_number": "253-581-2777",
"fax_number": "253-582-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 59TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992799",
"telephone_number": "253-581-2777",
"fax_number": "253-582-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBB",
"first_name": "DALE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00004902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- 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.