Tatiana Gonzalez Meza, BDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE70014853 Issued in WA

Practice address

12502 Mukilteo Speedway Ste 108
Mukilteo, WA 98275-5730

Phone

(425) 374-1136

NPI assigned

Jul 18, 2023

Last updated

Jul 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1770262552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 MUKILTEO SPEEDWAY STE 108",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755730",
            "telephone_number": "425-374-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MEZA",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE70014853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramatoulaye Gassama
• Bradley Geisler, D.C.
• Anna Germanov
• GL 329 LLC
• Samantha Goldsmith
• Mario Carlos Gonzalez
• Scarlet Gonzalez
• Jarred Darren Grant
• Adel Youakim Guirguis, PHARMACIST
• Thomas K. Hafford, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.