GREEN LAKE FAMILY AND COSMETIC DENTISTRY
NPI 1992506141
Clinic/Center - Dental in Seattle, WA

Active since March 24, 2025
8018 AURORA AVE N, SEATTLE, WA 98103(206) 258-4207 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Lake Family And Cosmetic Dentistry NPPES

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

GREEN LAKE FAMILY AND COSMETIC DENTISTRY (NPI 1992506141), doing business as Green Lake Cosmetic Dentistry, is a healthcare organization registered as a dental in Seattle, Washington and active in the NPI registry since March 2025. The organization lists Cherryl Sue Ellison, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1992506141
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREEN LAKE FAMILY AND COSMETIC DENTISTRY
Location Address8018 AURORA AVE NSeattle, WA 98103-4350
Mailing Address8018 Aurora Ave NSeattle, WA 98103-4350
Organization SubpartNo
Authorized OfficialCherryl Sue EllisonDentist Owner · (812) 272-4602
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 23, 2025
NPI 1992506141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
8018 AURORA AVE N, Seattle, WA 98103

Other Names 1

Former Legal Business NameGreen Lake Cosmetic Dentistry

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)
8018 AURORA AVE N
SEATTLE, WA 98103

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 Green Lake Family And Cosmetic Dentistry's NPI number?

The NPI number for Green Lake Family And Cosmetic Dentistry is 1992506141. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider was formerly known as Green Lake Cosmetic Dentistry.

Where is Green Lake Family And Cosmetic Dentistry located?

Green Lake Family And Cosmetic Dentistry is located at 8018 Aurora Ave N, Seattle, WA 98103. The listed phone number is (206) 258-4207.

What is Green Lake Family And Cosmetic Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Green Lake Family And Cosmetic Dentistry accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Green Lake Family And Cosmetic 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 Green Lake Family And Cosmetic Dentistry was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.