Organization Active NPI

Samish Bay Dental LLC

  • General Practice Dentistry
  • Bellingham, WA
National Provider Identifier
1073476883
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAMISH BAY DENTAL LLC
Practice address
3136 Squalicum Pkwy Ste a
Bellingham, WA 98225-1955
Phone
(360) 543-6808
Fax
(360) 809-6008
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jessica A Dubek, DDSNPI 1730526674
Title
Owner/Dentist
Phone
(360) 543-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3136 Squalicum Pkwy Ste a
Bellingham, WA 98225-1955

Mailing address

3136 Squalicum Pkwy Ste a
Bellingham, WA 98225-1955
Phone (360) 543-6808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1073476883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251955",
            "telephone_number": "360-543-6808",
            "fax_number": "360-809-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251955",
            "telephone_number": "360-543-6808",
            "fax_number": "360-809-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMISH BAY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "DUBEK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "360-543-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.