Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BONNEY LAKE FAMILY DENTISTRY, PLLC
Active
Organization
BONNEY LAKE FAMILY DENTISTRY, PLLC
Active
Other names
Bonney Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
21515 STATE ROUTE 410 E STE A, BONNEY LAKE, WA 98391-4100
(253) 826-9000
(253) 826-0328
Mailing address
21515 STATE ROUTE 410 E STE A, BONNEY LAKE, WA 98391-4100
(253) 826-9000
(253) 826-0328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers