Professional Dental Alliance of Lake Washington, PLLC
NPI 1558840371 · General Practice Dentistry · Melbourne, FL
Professional Dental Alliance of Lake Washington, PLLC is a General Practice Dentistry organization in Melbourne, FL (NPI 1558840371).
Provider details
- NPI number
- 1558840371
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Annette Marlow, Credentialing Supervisor(724) 698-2119
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- New Image Dentistry Lake Washington
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2018-08-13
Frequently asked questions
- What is Professional Dental Alliance of Lake Washington, PLLC's NPI number?
- Professional Dental Alliance of Lake Washington, PLLC's National Provider Identifier (NPI) is 1558840371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Lake Washington, PLLC?
- Professional Dental Alliance of Lake Washington, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Professional Dental Alliance of Lake Washington, PLLC located?
- Professional Dental Alliance of Lake Washington, PLLC's practice location on file with NPPES is 3226 Lake Washington Rd Ste 16, Melbourne, FL 32934-7620.
- What is Professional Dental Alliance of Lake Washington, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Lake Washington, PLLC is (321) 255-1991.
- Who is the authorized official for Professional Dental Alliance of Lake Washington, PLLC?
- The authorized official listed on Professional Dental Alliance of Lake Washington, PLLC's NPPES record is Annette Marlow, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance of Lake Washington, PLLC's NPI active?
- Yes — Professional Dental Alliance of Lake Washington, PLLC's NPI (1558840371) is active in the NPPES registry as of the last update on 2018-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.