Pamela N Sursely DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60122941 Issued in WA

Legal business name

PAMELA N SURSELY DDS, PLLC

Practice address

12911 120TH Ave NE Ste F200
Kirkland, WA 98034-3026

Phone

(425) 821-9111

Fax

(425) 821-2696

NPI assigned

May 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pamela N Sursely, DDS

Title

Dentist

Phone

(425) 985-0442

Specialties & licenses 1

Addresses

Other names 1

• Totem Lake Smiles Doing business as

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272758400000",
    "number": "1962729889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE F200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343026",
            "telephone_number": "425-821-9111",
            "fax_number": "425-821-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE F200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343026",
            "telephone_number": "425-821-9111",
            "fax_number": "425-821-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA N SURSELY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-05-02",
        "status": "A",
        "authorized_official_last_name": "SURSELY",
        "authorized_official_first_name": "PAMELA N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-985-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60122941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Totem Lake Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Marie Palm, LMHC
• Amy Grace Palmer Rowland, RN
• Barbara E. Palmer, O.T.
• Rossana Cecilia Palomino, MD
• Xochitl Palomino, N.D.
• Hsin-Chuan Pan, DDS, MS
• Abhishan Singh Pandher
• Nikita Pangarkar
• Jesse Randy Pangelinan, DPT, PT
• Amy Paolinelli, MA, IBCLC

• Dental Clinic/Center in Kirkland, WA
• Providers in Kirkland, 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 May 2, 2010; 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.