Robert R. Uhlmansiek, D.D.S., P.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4680 Issued in WA

Legal business name

ROBERT R. UHLMANSIEK, D.D.S., P.S.

Practice address

17171 Bothell Way NE
Lake Forest Park, WA 98155-5534

Phone

(206) 365-5454

Fax

(206) 362-5587

NPI assigned

Feb 5, 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. Robert Russell Uhlmansiek, D.D.S.

Title

President

Phone

(206) 365-5454

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669511184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17171 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555534",
            "telephone_number": "206-365-5454",
            "fax_number": "206-362-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555534",
            "telephone_number": "206-365-5454",
            "fax_number": "206-362-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. UHLMANSIEK, D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UHLMANSIEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-365-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "4680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Paige, L.M.P.
• Tina Marie Palmer, LMP
• Robyn Phillips-Madson, DO
• Esther Ra, D.D.S.
• Sherill Xinni Ren, M.ED., M.A.
• Jeanette Rodriguez, MFCC
• Molly Roklen
• Nicole Susanne Ruttenberg, MS, LMFTA
• Laura Sandusky
• Jessica Sather, LMFTA

• Dental Clinic/Center in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Dental Clinic/Center 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.