Bonney Lake Family Dentistry, Pllc
Dental Clinic
21515 State Route 410 E Ste A, Bonney Lake
Washington, 98391-4100
253-826-9000 253-826-0328
Maps & DirectionsBonney Lake Family Dentistry, Pllc is a Dental Clinic in Bonney Lake, Washington. It is located at 21515 State Route 410 E Ste A, Bonney Lake, WA and its contact number is 253-826-9000. The authorized person for Bonney Lake Family Dentistry, Pllc is Nick Sundiam
who is Credentialing Manager of the clinic and their contact number is 719-300-5933.
Bonney Lake Family Dentistry, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Bonney Lake Family Dentistry, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bonney Lake Family Dentistry, Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 21515 State Route 410 E Ste A, Bonney Lake,
Washington, 98391-4100 |
| Phone: | 253-826-9000 |
| Fax: | 253-826-0328 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Nick Sundiam |
| Position: | Credentialing Manager |
| Contact Number: | 719-300-5933 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bonney Lake Family Dentistry, Pllc clinic are as mentioned below.
| NPI Number: | 1548018526 |
| NPI Enumeration Date: | 07 May, 2024 |
| NPI Last Update On: | 07 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonney Lake Family Dentistry, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bonney Lake Family Dentistry, Pllc
21515 State Route 410 E Ste A,
Bonney Lake, Washington |
| Zip: | 98391-4100 |
| Phone Number: | 253-826-9000 |
| Fax Number: | 253-826-0328 |
Patients can reach Bonney Lake Family Dentistry, Pllc at
21515 State Route 410 E Ste A, Bonney Lake, Washington or can
call to book an appointment on 253-826-9000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.