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

Canyon Lakes Dental

Organization General Practice Dentistry · NPI 1639546252

Canyon Lakes Dental is a General Practice Dentistry in San Ramon, California. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

525 Bollinger Canyon Way Ste 105
San Ramon, CA 94582-4935
Phone: (925) 735-3838
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901021670 (MI)

Record details

NPI number1639546252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Erik Burke — Dentist · (231) 735-3715
NPI enumeratedAugust 31, 2015
Last updated in NPPESOctober 7, 2016
Mailing address525 Bollinger Canyon Way Ste 105, San Ramon, CA 94582-4935

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