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COTTAGE LAKE FAMILY DENTISTRY, PLLC
NPI 1932957909
Dentist - General Practice in Woodinville, WA

Active since May 07, 2024
19150 NE WOODINVILLE DUVALL RD, WOODINVILLE, WA 98077(425) 788-8900(425) 788-3936 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cottage Lake Family Dentistry, Pllc NPPES

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

COTTAGE LAKE FAMILY DENTISTRY, PLLC (NPI 1932957909), doing business as Cottage Lake Family Dentistry, is a healthcare organization registered as a general practice in Woodinville, Washington and active in the NPI registry since May 2024. The organization lists Nick Sundiam, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1932957909
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOTTAGE LAKE FAMILY DENTISTRY, PLLC
Location Address19150 NE WOODINVILLE DUVALL RDWoodinville, WA 98077-9477
Mailing Address19150 Ne Woodinville Duvall RdWoodinville, WA 98077-9477 · (425) 788-8900 · Fax (425) 788-3936
Phone(425) 788-8900
Fax(425) 788-3936
Organization SubpartNo
Authorized OfficialNick SundiamCredentialing Manager · (719) 300-5933
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1932957909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
19150 NE WOODINVILLE DUVALL RD, Woodinville, WA 98077
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Other Names 1

Doing Business AsCottage Lake Family Dentistry

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

Other Providers at the Same Location NPPES 11

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

FARAD BELL DDS
Dentist (General Practice)
19150 NE WOODINVILLE DUVALL RD, SUITE 6
WOODINVILLE, WA 98077
King County (425) 788-8900
SOO HYUN KIM DDS
Dentist
19150 NE WOODINVILLE DUVALL RD
WOODINVILLE, WA 98077
King County (425) 788-8900
DR. KIRSTIN M LAIB PHARMD
Pharmacist
19150 NE WOODINVILLE DUVALL RD
WOODINVILLE, WA 98077
King County (425) 788-6658
JOO-WON YOON DDS
Dentist (General Practice)
19150 NE WOODINVILLE DUVALL RD, SUITE 6
WOODINVILLE, WA 98077
King County (425) 788-8900
MRS. MARILYN YASSA
Pharmacist
19150 NE WOODINVILLE DUVALL RD
WOODINVILLE, WA 98077
King County (425) 788-6658
SHANNON MICHELLE MERTENS PHARMD, RPH
Pharmacist
19150 NE WOODINVILLE DUVALL RD
WOODINVILLE, WA 98077
King County (425) 788-6658
MR. MICHAEL THEODORE BAGBY R.PH.
Pharmacist
19150 NE WOODINVILLE DUVALL RD
WOODINVILLE, WA 98077
King County (425) 788-6658
PATRICIA NGUYEN DDS
Dentist (General Practice)
19150 NE WOODINVILLE DUVALL RD, SUITE 6
WOODINVILLE, WA 98077
King County (425) 788-8900

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 Cottage Lake Family Dentistry, PLLC's NPI number?

The NPI number for Cottage Lake Family Dentistry, PLLC is 1932957909. It was assigned to this organization in the NPPES registry on May 7, 2024. The provider is doing business as Cottage Lake Family Dentistry.

Where is Cottage Lake Family Dentistry, PLLC located?

Cottage Lake Family Dentistry, PLLC is located at 19150 NE Woodinville Duvall Rd, Woodinville, WA 98077. The listed phone number is (425) 788-8900.

What is Cottage Lake Family Dentistry, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cottage Lake Family Dentistry, PLLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.