Provider Demographics
NPI:1053067488
Name:PAULA STEPP PLLC
Entity Type:Organization
Organization Name:PAULA STEPP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:618-363-6496
Mailing Address - Street 1:1717 66TH ST SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-7704
Mailing Address - Country:US
Mailing Address - Phone:618-363-6496
Mailing Address - Fax:
Practice Address - Street 1:15614 MERIDIAN E STE 400
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-5100
Practice Address - Country:US
Practice Address - Phone:618-363-6496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2080021Medicaid