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

Bonney Lake Oral Surgery

Organization Dentist · NPI 1235353392

Bonney Lake Oral Surgery is a Dentist in Bonney Lake, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

8412 Myers Rd Ste 101
Bonney Lake, WA 98391-5112
Phone: (253) 863-2200
Fax: (253) 447-4968
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00008264 (WA)

Record details

NPI number1235353392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosa Cortesi — Office Manager · (253) 863-2200
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8412 Myers Rd, Suite 101, Bonney Lake, WA 98391-5112

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