Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477328268 Individual Practitioner Female Practitioner

Georgia Katherine Stultz

Dentist • Deer Park, WA

Professional Overview & Biography Verified Profile Summary

Georgia Stultz is a registered healthcare professional specializing in Dentist in Deer Park, WA. Practice services are available at 401 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 S Main St

Deer Park, WA 990068238

Telephone 5094448200
Fax 5094340392
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Deer Park, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Deer Park, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DENT.DE.70136594

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tyler Pedersen , MD

Emergency Medicine

NPI 1003034828

Doctor of Medicine (M.D.)

Lila Erickson , MSPAS, PA-C

Physician Assistant

NPI 1003134867

MSPAS, Physician Assistant (Certified)

Jeffrey Hayward , PA-C

Physician Assistant

NPI 1003218389

Physician Assistant (Certified)

NPI 1003290941

Doctor of Pharmacy (Pharm.D.)

Anna Denton , FNP-BC

Nurse Practitioner - Family

NPI 1003331539

Family Nurse Practitioner (Board Certified)

Amy Hagins

Social Worker

NPI 1003381492

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 01, 2026

Registered at 401 S MAIN ST, DEER PARK, WA 990068238 (Tel: 5094448200)

📍
Updated Business Mailing Address July 01, 2026

Registered at 731 N IRON BRIDGE WAY, SPOKANE, WA 992024926 (Tel: 5094448888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Dentist (License #DENT.DE.70136594 in WA)

NPI Profile Active November 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2023

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065430903)

📍
Updated Business Mailing Address November 21, 2023

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065430903)

👤
Provider Name / Credentials Updated November 21, 2023

Recorded as GEORGIA STULTZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477328268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2023
Last Update: July 01, 2026
Sole Proprietor: Yes

Mailing Address

731 N Iron Bridge Way

Spokane, WA 992024926

Phone: 5094448888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.