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Active NPI 1063495174 Individual Practitioner Male Practitioner

Dr. Stacy Reed Kanda , DDS

Dentist - General Practice • Federal Way, WA

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Kanda, DDS is a registered healthcare professional specializing in Dentist - General Practice in Federal Way, WA. Practice services are available at 2335 SW 320TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2335 Sw 320th St
Suite 1

Federal Way, WA 980232569

Telephone 2536612222
Fax 2536611544
Associated Practice Facility / Clinic
🏢 Dan Roberts, Dmd, Pllc Facility NPI 1639712797

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
81 Specialists

Practicing in Federal Way, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00005273

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5547500 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jon Swenson , DDS

Dentist - General Practice

NPI 1033280086

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2335 SW 320TH ST, SUITE 1, FEDERAL WAY, WA 980232569 (Tel: 2536612222)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2335 SW 320TH ST, SUITE 1, FEDERAL WAY, WA 980232569 (Tel: 2536612222)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as STACY KANDA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DE00005273 in WA)

🟢
Initial NPI Registration & Enumeration November 22, 2005

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: 1063495174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2005
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

2335 Sw 320th St, Suite 1

Federal Way, WA 980232569

Phone: 2536612222

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.