Mukilteo Family Dentistry

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

5506407 Issued in WA

Legal business name

MUKILTEO FAMILY DENTISTRY

Practice address

833 2ND St Ste a
Mukilteo, WA 98275-1639

Phone

(425) 355-8866

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Grindall

Title

President

Phone

(425) 355-8866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710056833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 2ND ST STE A",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 2ND ST STE A",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751639",
            "telephone_number": "425-355-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKILTEO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRINDALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-355-8866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "5506407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Morris, ND
• Steven Eric Morris, ND, AHG
• Ericka Nicole Mucciarone, MA-C
• Mukilteo Apartments LLC
• Mukilteo Chiropractic Clinic, PLLC
• Mukilteo Natural Health Clinic
• Mukilteo Smiles, Stacey C. Sype, DDS, PLLC
• Teresa Murphy, MD
• Sathy Mutombokabuika
• Susana E Myers, DO

• Public Health or Welfare Agency in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Public Health or Welfare Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.