Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174524995 Individual Practitioner Male Practitioner

Dr. Cooper Francis Bolak , DDS

Dentist - General Practice • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Cooper Bolak, DDS is a registered healthcare professional specializing in Dentist - General Practice in Seattle, WA. Practice services are available at 4722 FAUNTLEROY WAY SW STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4722 Fauntleroy Way Sw Ste A

Seattle, WA 981164667

Telephone 2069286242
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60350473

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO 8407

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 25944

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1891579090

Doctor of Dental Medicine

Dr. Christopher Conser , DDS, MD

Dentist - Oral and Maxillofacial Surgery

NPI 1912526062

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Joyce Nimmo , DMD

Dentist - General Practice

NPI 1962137356

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 26, 2022

Registered at 4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 981164667 (Tel: 2069286242)

📍
Updated Business Mailing Address October 26, 2022

Registered at 4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 981164667 (Tel: 2069286242)

👤
Provider Name / Credentials Updated October 26, 2022

Recorded as COOPER BOLAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2022

Dentist (License #8407 in CO)

NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2016

Registered at 1001 AVENUE D, STE 100, SNOHOMISH, WA 982902018 (Tel: 3605689694)

📍
Updated Business Mailing Address June 09, 2016

Registered at 1001 AVENUE D, STE 100, SNOHOMISH, WA 982902018 (Tel: 3605689694)

👤
Provider Name / Credentials Updated June 09, 2016

Recorded as KIMBERLY BOLAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Dentist (License #DE60350473 in WA)

🟢
Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174524995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: October 26, 2022
Sole Proprietor: No

Mailing Address

4722 Fauntleroy Way Sw Ste A

Seattle, WA 981164667

Phone: 2069286242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.