Lakeside Endodontics
NPI 1104056910ActiveOrganization· Dentist, Endodontics· Everett, WA
Dentist, Endodontics in Everett, Washington, registered in NPPES in July 2009. The authorized official on file is Shahin Etemadi, D.D.S., M.S.D., President.
Overview
| NPI | 1104056910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2009 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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