Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215571880 Individual Practitioner Female Practitioner

Dr. Stephanie Pedersen , DDS

Dentist - General Practice • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Pedersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Seattle, WA. Practice services are available at 4701 MIDVALE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4701 Midvale Ave N

Seattle, WA 981036641

Telephone 2065475647
Associated Practice Facility / Clinic
🏢 Benjamin L Chang, Dds Ps Facility NPI 1851457428

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, 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 DE60970314

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

Commercial Insurance / Payer ID License Number
DE60970314 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Li-Jen Chang , DDS

Dentist - General Practice

NPI 1073607107

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 November 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2019

Registered at 4701 MIDVALE AVE N, SEATTLE, WA 981036641 (Tel: 2065475647)

📍
Updated Business Mailing Address November 06, 2019

Registered at 4701 MIDVALE AVE N, SEATTLE, WA 981036641 (Tel: 2065475647)

👤
Provider Name / Credentials Updated November 06, 2019

Recorded as STEPHANIE PEDERSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2019

Dentist (License #DE60970314 in WA)

🟢
Initial NPI Registration & Enumeration November 06, 2019

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: 1215571880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2019
Last Update: November 27, 2023
Sole Proprietor: Yes

Mailing Address

4701 Midvale Ave N

Seattle, WA 981036641

Phone: 2065475647

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.