Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710161930 Individual Practitioner Female Practitioner

Dr. Stacey Marie Cerven , DMD

Dentist - General Practice • Granite Falls, WA

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Cerven, DMD is a registered healthcare professional specializing in Dentist - General Practice in Granite Falls, WA. Practice services are available at 405 S. GRANITE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 S. Granite Ave

Granite Falls, WA 982520959

Telephone 3606917793
Fax 3606915577
Associated Practice Facility / Clinic
🏢 David A Gore Dds Pllc Facility NPI 1013521400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Granite Falls, WA

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

Practicing in Granite Falls, 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 DE00010936

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1154481646

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 December 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 24, 2007

Registered at 405 S. GRANITE AVE, GRANITE FALLS, WA 982520959 (Tel: 3606917793)

📍
Updated Business Mailing Address December 24, 2007

Registered at PO BOX 959, 405 S. GRANITE AVE, GRANITE FALLS, WA 982520959 (Tel: 3606917793)

👤
Provider Name / Credentials Updated December 24, 2007

Recorded as STACEY CERVEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 24, 2007

Dentist (License #DE00010936 in WA)

🟢
Initial NPI Registration & Enumeration December 24, 2007

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: 1710161930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 24, 2007
Last Update: December 24, 2007
Sole Proprietor: No

Mailing Address

Po Box 959, 405 S. Granite Ave

Granite Falls, WA 982520959

Phone: 3606917793

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.