SAMUEL LYON LAKE (DDS, MSD) – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1306968003

SAMUEL LYON LAKE (DDS, MSD) is a healthcare provider. based in Bellevue, Washington. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold the professional credentials DDS, MSD. They hold a License No. 5283 (WA). The NPI Number for SAMUEL LYON LAKE (DDS, MSD) is 1306968003

Main info

Male
Name
SAMUEL LYON LAKE (DDS, MSD)
NPI
1306968003
Phone
(425) 641-4200
Address
14420 BEL RED RD STE 105
Enumeration Date
4 April 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SAMUEL LYON LAKE (DDS, MSD)

  • 14420 BEL RED RD STE 105

    BELLEVUE, WA 980073930

    Phone: (425) 641-4200

    Fax: (425) 641-4418

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Ultradent Products Inc ($273).

Total Amount

$273

General + Research + Ownership

Payments

1

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ultradent Products Inc$273
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98007)

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Reviews

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Frequently asked questions

Is there an official ID for SAMUEL LYON LAKE (DDS, MSD) in U.S. healthcare records?
The official identifier for SAMUEL LYON LAKE (DDS, MSD) is NPI 1306968003.
Is SAMUEL LYON LAKE (DDS, MSD) still an active registrant?
SAMUEL LYON LAKE (DDS, MSD) carries an active NPI according to the public dataset.
What clinical focus is listed for SAMUEL LYON LAKE (DDS, MSD)?
At a glance, SAMUEL LYON LAKE (DDS, MSD) is tied to Orthodontics and Dentofacial Orthopedics Dentistry. Clinical services aligned with this taxonomy classification.
What locale is associated with SAMUEL LYON LAKE (DDS, MSD)?
Directory geography for SAMUEL LYON LAKE (DDS, MSD) centers on Bellevue, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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