BONNEY LAKE DENTAL LLC
NPI 1073088423
Clinic/Center - Dental in Bonney Lake, WA

Active since October 11, 2018
19410 STATE ROUTE 410 E, BONNEY LAKE, WA 98391(253) 780-7003 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonney Lake Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNEY LAKE DENTAL LLC (NPI 1073088423), doing business as Comfort Dental Bonney Lake, is a healthcare organization registered as a dental in Bonney Lake, Washington and active in the NPI registry since October 2018. The organization lists Travis Probst, Owner /dentist, as its authorized official.

NPPES Registry Identity

NPI1073088423
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBONNEY LAKE DENTAL LLC
Location Address19410 STATE ROUTE 410 EBonney Lake, WA 98391-8470
Mailing Address19410 State Route 410 EBonney Lake, WA 98391-8470 · (253) 780-7003
Organization SubpartNo
Authorized OfficialTravis ProbstOwner /dentist · (719) 352-5773
Enumeration DateOctober 11, 2018
NPI 1073088423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
19410 STATE ROUTE 410 E, Bonney Lake, WA 98391

Other Names 1

Doing Business AsComfort Dental Bonney Lake

Other Identifiers 1

Other1144431529WA · Npi

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonney Lake Dental LLC's NPI number?

The NPI number for Bonney Lake Dental LLC is 1073088423. It was assigned to this organization in the NPPES registry on October 11, 2018. The provider is doing business as Comfort Dental Bonney Lake.

Where is Bonney Lake Dental LLC located?

Bonney Lake Dental LLC is located at 19410 State Route 410 E, Bonney Lake, WA 98391. The listed phone number is (253) 780-7003.

What is Bonney Lake Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Bonney Lake Dental LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Bonney Lake Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonney Lake Dental LLC was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.