SAMUEL LYON LAKE


Address: 14420 Bel Red Rd Ste 105, Bellevue, WA 98007-3930
Phone: 4256414200

SAMUEL LYON LAKE (NPI# 1306968003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306968003
Entity Type Individual
Full Name SAMUEL LYON LAKE
Credential DDS, MSD
Practice Address 14420 Bel Red Rd Ste 105
Bellevue
WA 98007-3930
Practice Telephone 4256414200
Practice Fax Number 4256414418
Mailing Telephone 4256414200
Mailing Fax Number 4256414418
Enumeration Date 2007-04-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
5283 WA Dental Providers

Other Providers SAMUEL LAKE

NPI Name Taxonomy Address Enumeration
1154784387 Samuel Solomon Lake Student in an Organized Health Care Education/Training Program 231 Albert Sabin Way, Room 5502, Cincinnati, OH 45267-0212 2016-04-04

Office Location

Street Address 14420 BEL RED RD STE 105
City BELLEVUE
State WA
Zip Code 98007-3930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407152952 Lake and Lemery, Pllc Dentist 14420 Bel Red Rd Ste 105, Bellevue, WA 98007-3930 2011-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982204947 Janet Delgado Interpreter 3000 Landerholm Cir Se, Bellevue, WA 98007 2020-10-29
1467092643 Stephanie Schaal Counselor 15395 Se 30th Place Ste 120, Bellevue, WA 98007 2020-01-15
1740824358 Alison Elizabeth Campbell Massage Therapist 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 2019-11-06
1275188021 Pacific Coast Health Care, Pllc Internal Medicine Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 2019-08-08
1417475054 Terasak Roeksbutr Dietitian, Registered 109 146th Ave Se, Bellevue, WA 98007 2017-09-04
1083130934 Po-lung Wu Acupuncturist 693 156th Ave Se, Bellevue, WA 98007 2017-08-22
1689117319 Audrey K. Tatt D.d.s. P.l.l.c. Dentist 15419 Ne 20th St. #206, Bellevue, WA 98007 2016-11-29
1952751836 Mona Ebrahimi Student in an Organized Health Care Education/Training Program 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 2016-06-21
1578939302 Walgreen Student in an Organized Health Care Education/Training Program 15220 156th Ne, Bellevue, WA 98007 2015-08-17
1750767406 Anar Veliyev Physical Therapist 14828 Ne 12th St, Bellevue, WA 98007 2015-08-05
Find all providers in zip 98007

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043840200 Kjeld Aamodt PC Dentist 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 2020-01-16
1144718453 Soper Smile Company Pllc Dentist 14575 Ne Bel Red Rd Ste 200, Bellevue, WA 98007-3908 2018-04-23
1215485792 Leone and Vaughn Orthodontics Dentist 600 108th Ave Ne Ste 120, Bellevue, WA 98004-5110 2016-09-14
1811359094 William Page Brown Dentist 4100 Factoria Blvd Se Ste A, Bellevue, WA 98006-1262 2016-03-25
1144641051 Megha Anand Dentist 788 110th Ave Ne, N602, Bellevue, WA 98004-8312 2013-12-18
1154579548 Dona M. Seely Dentist 1248 112th Ave Ne, Bellevue, WA 98004 2008-08-28
1902060445 Jacqueline Bunce Dentist 12600 Se 38th St Ste 225, Bellevue, WA 98006-5232 2008-07-14
1053509588 Dunlow Orthodontics, P.C. Dentist 2219 Capehart Road, Suite 102, Bellevue, NE 68123 2007-10-10
1124223540 Wisanu Charoenkul Dentist 14810 Lake Hills Blvd, Bellevue, WA 98007-5821 2007-06-16
1467674382 Jeffrey Allen Schur Dentist 14635 Bel-red Rd, Ste E101, Bellevue, WA 98007-3932 2007-05-02
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 98007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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