Doctor profile · Federal record
Dr. Samuel Lake, DDS, MSD
Orthodontics and Dentofacial Orthopedic Dentist · Bellevue, WA
- NPI 1306968003
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
14420 Bel Red RD Ste 105
Bellevue, WA 980073930
(425) 641-4200
fax (425) 641-4418
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Washington #5283
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306968003. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$273
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $272.98 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Lake's medical specialty?
Dr. Samuel Lake practices Orthodontics and Dentofacial Orthopedic Dentist in Bellevue, WA.
Where does Dr. Samuel Lake practice?
Dr. Samuel Lake practices at 14420 Bel Red RD Ste 105, Bellevue, WA 980073930. Office phone: 4256414200.
What is Dr. Samuel Lake's NPI?
Dr. Samuel Lake's National Provider Identifier (NPI) is 1306968003, issued by NPPES.