Provider Demographics
NPI:1114732039
Name:KOGSON-PIERCE, LAURA MARIA (DMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARIA
Last Name:KOGSON-PIERCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:MARIA
Other - Last Name:KOGSON NIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:505 CEDAR AVE STE C1
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4561
Mailing Address - Country:US
Mailing Address - Phone:360-583-4762
Mailing Address - Fax:
Practice Address - Street 1:505 CEDAR AVE STE C1
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4561
Practice Address - Country:US
Practice Address - Phone:360-583-4762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADENT.DE.700373111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice