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Samuel Lyon Lake, DDS,MSD
Orthodontics and Dentofacial Orthopedic Dentist in Bellevue, Washington
NPI 1306968003

Samuel Lyon Lake is a Orthodontics and Dentofacial Orthopedic Dentist based in Bellevue, WA and is specialized in Orthodontics and Dentofacial Orthopedics. Samuel Lyon Lake practices in Bellevue, WA and has the professional credentials of DDS,MSD. The NPI Number for Samuel Lyon Lake is 1306968003 and holds a License No. 5283 (Washington).

The current practice location address for Samuel Lyon Lake is 14420 Bel Red Rd Ste 105, Bellevue, WA and can be reached out via phone at 425-641-4200 and via fax at 425-641-4418.

Location: 14420 Bel Red Rd Ste 105, Bellevue, WA, 98007-3930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306968003
Provider Name
Samuel Lyon Lake
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
14420 Bel Red Rd Ste 105, Bellevue, WA, 98007-3930
Phone Number
425-641-4200
Fax Number
425-641-4418
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14420 Bel Red Rd Ste 105
City
Bellevue
State
Washington
Zip
98007-3930
Phone Number
425-641-4200
Fax Number
425-641-4418
person
Provider Business Mailing Address Details
Address
14420 Bel Red Rd Ste 105
City
Bellevue
State
Washington
Zip
98007-3930
Phone Number
425-641-4200
Fax Number
425-641-4418
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
5283 (Washington)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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