OrganizationActive
Lake Sammamish Family Dentistry
NPI 1093036709 · General Practice Dentistry · Issaquah, WA
Lake Sammamish Family Dentistry is a General Practice Dentistry organization in Issaquah, WA (NPI 1093036709).
Provider details
- NPI number
- 1093036709
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Anna Lisin, Dentist(425) 392-3900
- License
- 60065361 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5712 E Lake Sammamish Pkwy Se
Ste 108
Issaquah, WA 98029-8943
Phone: (425) 392-3900
Street-level locationGet directions
Mailing address
5712 E Lake Sammamish Pkwy Se
Issaquah, WA 98029-8943
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2010-06-16
Frequently asked questions
- What is Lake Sammamish Family Dentistry's NPI number?
- Lake Sammamish Family Dentistry's National Provider Identifier (NPI) is 1093036709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Sammamish Family Dentistry?
- Lake Sammamish Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lake Sammamish Family Dentistry located?
- Lake Sammamish Family Dentistry's practice location on file with NPPES is 5712 E Lake Sammamish Pkwy Se, Issaquah, WA 98029-8943.
- What is Lake Sammamish Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Lake Sammamish Family Dentistry is (425) 392-3900.
- Who is the authorized official for Lake Sammamish Family Dentistry?
- The authorized official listed on Lake Sammamish Family Dentistry's NPPES record is Anna Lisin, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Sammamish Family Dentistry's NPI active?
- Yes — Lake Sammamish Family Dentistry's NPI (1093036709) is active in the NPPES registry as of the last update on 2010-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.