Joseph Eidsness, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOSEPH EIDSNESS, DDS, PLLC

Practice address

7209 265TH St NW Ste 201
Stanwood, WA 98292-6292

Phone

(360) 629-3133

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Joseph R Eidsness, DDSNPI 1033763800

Title

Practice Owner

Phone

(360) 618-2877

Specialties & licenses 1

Addresses

Other names 1

• Port Susan Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Robert Eidsness, DDS

  • Public Health Dentistry
  • Burlington, WA
  • NPI 1033763800
  NPD Authorized official
• Russell John Smith, D.M.D.

  • General Practice Dentistry
  • Stanwood, WA
  • NPI 1255547386
  NPD (past)

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1861290553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 91ST ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702642",
            "telephone_number": "360-618-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 265TH ST NW STE 201",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926292",
            "telephone_number": "360-629-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH EIDSNESS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "EIDSNESS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "360-618-2877",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Susan Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Jewell
• Joel P. Gardner, DMD, PS
• Karie Lynn Johnson, PHARMACY TECHNICIAN
• Terra P Johnson, LMHC
• Joanne Jornales, CAAR
• Josephine Caring Community
• Josephine Caring Community
• Thomas Jung, THOMAS JUNG
• Kelsey Nichole Kanehen
• Timothy John Kathol

• Dental Clinic/Center in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.