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

Samuel Lyon Lake, DDS, MSD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1306968003

Samuel Lyon Lake, DDS, MSD is an Orthodontics and Dentofacial Orthopedics Dentistry in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

14420 Bel Red Rd Ste 105
Bellevue, WA 98007-3930
Phone: (425) 641-4200
Fax: (425) 641-4418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 5283 (WA)

Record details

NPI number1306968003
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 8, 2007

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