Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bonney Lake Family Dentistry, PLLC

Organization General Practice Dentistry · NPI 1548018526

Bonney Lake Family Dentistry, PLLC provides General Practice Dentistry in Bonney Lake, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21515 State Route 410 E Ste A
Bonney Lake, WA 98391-4100
Phone: (253) 826-9000
Fax: (253) 826-0328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1548018526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Sundiam — Credentialing Manager · (719) 300-5933
Other names Bonney Lake Family Dentistry
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address21515 State Route 410 E Ste A, Bonney Lake, WA 98391-4100

Other providers in Bonney Lake