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Active NPI 1790203339 Individual Practitioner Male Practitioner

Dr. Leif Roger Gerritzen , DMD

Dentist - General Practice • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Dr. Leif Gerritzen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lacey, WA. Practice services are available at 669 WOODLAND SQUARE LOOP SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

669 Woodland Square Loop Se

Lacey, WA 985031038

Telephone 3603594860
Associated Practice Facility / Clinic
🏢 Olympia Open Mri Llc Facility NPI 1073573820

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lacey, WA

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

Practicing in Lacey, 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 DE60773945

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

5 Associated Practitioners
NPI 1033233549

Doctor of Dental Surgery

Dr. Christopher Riolo , DDS MS PHD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1467522391

DDSMSPHD

NPI 1598170813

Doctor of Dental Surgery

Richard Tyner , RDH

Dental Hygienist

NPI 1659425494

Registered Dental Hygienist

Judith Hartman , RDH

Dental Hygienist

NPI 1912420233

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2017

Registered at 669 WOODLAND SQUARE LOOP SE, LACEY, WA 985031038 (Tel: 3603594860)

📍
Updated Business Mailing Address September 04, 2017

Registered at PO BOX 34703, SEATTLE, WA 981241703 (Tel: 2067640502)

👤
Provider Name / Credentials Updated September 04, 2017

Recorded as LEIF GERRITZEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2017

Dentist (License #DE60773945 in WA)

🟢
Initial NPI Registration & Enumeration September 04, 2017

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: 1790203339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2017
Last Update: September 04, 2017
Sole Proprietor: No

Mailing Address

Po Box 34703

Seattle, WA 981241703

Phone: 2067640502

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.