OrganizationActive
Bonney Lake Oral Surgery
NPI 1235353392 · Dentist · Bonney Lake, WA
Bonney Lake Oral Surgery is a Dentist organization in Bonney Lake, WA (NPI 1235353392).
Provider details
- NPI number
- 1235353392
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rosa Cortesi, Office Manager(253) 863-2200
- License
- DE00008264 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8412 Myers Rd
Suite 101
Bonney Lake, WA 98391-5112
Phone: (253) 863-2200
Fax: (253) 447-4968
Street-level locationGet directions
Mailing address
8412 Myers Rd
Bonney Lake, WA 98391-5112
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bonney Lake Oral Surgery's NPI number?
- Bonney Lake Oral Surgery's National Provider Identifier (NPI) is 1235353392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonney Lake Oral Surgery?
- Bonney Lake Oral Surgery is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bonney Lake Oral Surgery located?
- Bonney Lake Oral Surgery's practice location on file with NPPES is 8412 Myers Rd, Bonney Lake, WA 98391-5112.
- What is Bonney Lake Oral Surgery's phone number?
- The practice phone number listed in the NPPES registry for Bonney Lake Oral Surgery is (253) 863-2200.
- Who is the authorized official for Bonney Lake Oral Surgery?
- The authorized official listed on Bonney Lake Oral Surgery's NPPES record is Rosa Cortesi, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonney Lake Oral Surgery's NPI active?
- Yes — Bonney Lake Oral Surgery's NPI (1235353392) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.