DR. STACEY MARIE CERVEN (NPI# 1710161930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710161930 |
| Entity Type | Individual |
| Full Name | DR. STACEY MARIE CERVEN |
| Credential | DMD |
| Practice Address |
405 S. Granite Ave Granite Falls WA 98252-0959 |
| Mailing Address |
Po Box 959 405 S. Granite Ave Granite Falls WA 98252-0959 |
| Practice Telephone | 3606917793 |
| Practice Fax Number | 3606915577 |
| Mailing Telephone | 3606917793 |
| Mailing Fax Number | 3606915577 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00010936 | WA | Dental Providers |
| Street Address |
405 S. GRANITE AVE |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252-0959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154481646 | Michael Doane Karr | Dentist | 405 S. Granite Ave, Granite Falls, WA 98252 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| Find all providers in zip 98252 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790088680 | Granite Falls Family Dentistry | Dentist | 1265 6th St, Granite Falls Family Dentistry, Granite Falls, MN 56241 | 2010-12-15 |
| 1003981978 | James B. Boggs, D.d.s., P.a. | Dentist | 4283 Hickory Blvd, Granite Falls, NC 28630-1990 | 2006-11-23 |
| 1235341579 | James Boxley Boggs | Dentist | 4283 Hickory Blvd, Granite Falls, NC 28630-1990 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.