Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonney Lake Family Dentistry, PLLC

Organization General Practice Dentistry · NPI 1548018526

Bonney Lake Family Dentistry, PLLC is a 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