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

Green Lake Family and Cosmetic Dentistry

Organization Dental Clinic/Center · NPI 1992506141

Green Lake Family and Cosmetic Dentistry is a Dental Clinic/Center in Seattle, Washington. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8018 Aurora Ave N
Seattle, WA 98103-4350
Phone: (206) 258-4207
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1992506141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cherryl Ellison — Dentist Owner · (812) 272-4602
Other names Green Lake Cosmetic Dentistry
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 23, 2025
Mailing address8018 Aurora Ave N, Seattle, WA 98103-4350

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