Bonney Lake Family Dentistry, PLLC
NPI 1548018526 · General Practice Dentistry · Bonney Lake, WA
Bonney Lake Family Dentistry, PLLC is a General Practice Dentistry organization in Bonney Lake, WA (NPI 1548018526).
Provider details
- NPI number
- 1548018526
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nick Sundiam, Credentialing Manager(719) 300-5933
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Bonney Lake Family Dentistry
Registry dates
- Enumerated
- 2024-05-07
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Frequently asked questions
- What is Bonney Lake Family Dentistry, PLLC's NPI number?
- Bonney Lake Family Dentistry, PLLC's National Provider Identifier (NPI) is 1548018526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonney Lake Family Dentistry, PLLC?
- Bonney Lake Family Dentistry, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Bonney Lake Family Dentistry, PLLC located?
- Bonney Lake Family Dentistry, PLLC's practice location on file with NPPES is 21515 State Route 410 E Ste a, Bonney Lake, WA 98391-4100.
- What is Bonney Lake Family Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bonney Lake Family Dentistry, PLLC is (253) 826-9000.
- Who is the authorized official for Bonney Lake Family Dentistry, PLLC?
- The authorized official listed on Bonney Lake Family Dentistry, PLLC's NPPES record is Nick Sundiam, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonney Lake Family Dentistry, PLLC's NPI active?
- Yes — Bonney Lake Family Dentistry, PLLC's NPI (1548018526) is active in the NPPES registry as of the last update on 2024-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.