Christopher C. Robertson, DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8677 Issued in WA

Legal business name

CHRISTOPHER C. ROBERTSON, DDS, PS

Doing business as

Pine Lake Dental Care

Practice address

22727 SE 29TH St
Sammamish, WA 98075-9532

Phone

(425) 392-2103

Fax

(425) 313-9705

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher C Robertson, DDS

Title

President

Phone

(425) 392-2103

Specialties & licenses 1

Addresses

Other names 1

• Pine Lake Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimchi Le Phan, DDS

  • Dentist
  • Sammamish, WA
  • NPI 1467702522
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144352246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22727 SE 29TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759532",
            "telephone_number": "425-392-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 SE 29TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759532",
            "telephone_number": "425-392-2103",
            "fax_number": "425-313-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER C. ROBERTSON, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-392-2103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Lake Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Songting CHI, LMT
• Neha Chinchanikar
• Tiffany P Chiu, ARNP
• Anna Cho, PHARMACY TECHNICIAN
• Hosoon Chois, O.M.D
• T Michael Claudson, MD
• Terence M Clinch, RPH
• Jennifer Coomes, DCN, CDN
• Georgina Coote, NBCR, CD(DONA)
• Cordial Complete Care

• General Practice Dentistry in Sammamish, WA
• Providers in Sammamish, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.