PAMELA N SURSELY DDS, PLLC (NPI# 1962729889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962729889 |
| Entity Type | Organization |
| Organization Name | PAMELA N SURSELY DDS, PLLC |
| Other Organization Name | TOTEM LAKE SMILES |
| Practice Address |
12911 120th Ave Ne Ste F200 Kirkland WA 98034-3026 |
| Practice Telephone | 4258219111 |
| Practice Fax Number | 4258212696 |
| Mailing Telephone | 4258219111 |
| Mailing Fax Number | 4258212696 |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2010-05-02 |
| Authorized Official Name | DR. PAMELA N SURSELY (DENTIST) |
| Authorized Official Telephone | 4259850442 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60122941 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Totem Lake Smiles | Doing Business As Name - Organization |
| Street Address |
12911 120TH AVE NE STE F200 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153922 | Lintakoon & Hansen Dds Pllc | Clinic/Center | 8532 122nd Ave Ne Ste B-1, Kirkland, WA 98033-5831 | 2019-09-11 |
| 1225480155 | Barbara S Ireland Dds Ps | Clinic/Center | 5808 Lake Washington Blvd Ne, #101, Kirkland, WA 98033-7350 | 2016-07-03 |
| 1760657274 | Yeung & Lee, Inc. | Clinic/Center | 12845 Ne 85th Street, Kirkland, WA 98033-8009 | 2008-04-25 |
| 1740889849 | Alaleh Moazami Dmd Pllc | Clinic/Center | 7315 Ne 141st St, Kirkland, WA 98034-9739 | 2020-10-20 |
| 1063064954 | Kirkland Premier Dentistry | Clinic/Center | 10601 Ne 68th St, Kirkland, WA 98033-7054 | 2019-07-11 |
| 1346607694 | Wang and Amini Dds,dmd,md,pllc | Clinic/Center | 13127 121st Way Ne, Kirkland, WA 98034-3051 | 2016-01-18 |
| 1639542103 | Evergreen Dental Group | Clinic/Center | 11800 Ne 128th St Ste 440, Kirkland, WA 98034-7299 | 2015-11-05 |
| 1376964163 | Lee and Yeung, Ps | Clinic/Center | 12845 Ne 85th St, Kirkland, WA 98033-8009 | 2013-12-20 |
| 1972840718 | Rosanne P. Coluccio,d.d.s.,ps | Clinic/Center | 9800 Ne 120th Pl, Kirkland, WA 98034-4220 | 2013-01-14 |
| 1689919458 | Yong J. Park Dds, Inc. | Clinic/Center | 7315 Ne 141st St, Kirkland, WA 98034-9739 | 2012-12-06 |
| Find all providers in KIRKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.