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

Dr. Randolph Lewis Lake, DDS

Individual provider General Practice Dentistry · NPI 1528134509

Dr. Randolph Lewis Lake, DDS is a General Practice Dentistry in Renton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3200 NE Sunset Blvd
Renton, WA 98056-3335
Phone: (425) 228-2555
Fax: (425) 228-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00005282 (WA)

Record details

NPI number1528134509
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 8, 2007

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