LAKE SAMMAMISH FAMILY DENTISTRY
NPI 1093036709
Dentist - General Practice in Issaquah, WA

Active since June 16, 2010
5712 E LAKE SAMMAMISH PKWY SE, STE 108, ISSAQUAH, WA 98029(425) 392-3900 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Sammamish Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SAMMAMISH FAMILY DENTISTRY (NPI 1093036709) is a healthcare organization registered as a general practice in Issaquah, Washington and active in the NPI registry since June 2010. The organization lists Anna Lisin, Dentist, as its authorized official.

NPPES Registry Identity

NPI1093036709
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE SAMMAMISH FAMILY DENTISTRY
Location Address5712 E LAKE SAMMAMISH PKWY SE, STE 108Issaquah, WA 98029-8943
Mailing Address5712 E Lake Sammamish Pkwy Se, Ste 108Issaquah, WA 98029-8943 · (425) 392-3900
Organization SubpartNo
Authorized OfficialAnna LisinDentist · (425) 392-3900
Enumeration DateJune 16, 2010
NPI 1093036709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 60065361
Definition
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.
5712 E LAKE SAMMAMISH PKWY SE, Issaquah, WA 98029

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5712 E LAKE SAMMAMISH PKWY SE, SUITE 108
ISSAQUAH, WA 98029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Sammamish Family Dentistry's NPI number?

The NPI number for Lake Sammamish Family Dentistry is 1093036709. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Lake Sammamish Family Dentistry located?

Lake Sammamish Family Dentistry is located at 5712 E Lake Sammamish Pkwy SE Ste 108, Issaquah, WA 98029. The listed phone number is (425) 392-3900.

What is Lake Sammamish Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lake Sammamish Family Dentistry accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lake Sammamish Family Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Sammamish Family Dentistry was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.