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AUTUMNWOOD DENTAL
NPI 1144533142
Clinic/Center - Dental in Arlington, WA

Active since July 19, 2010
430 N WEST AVE STE 1, ARLINGTON, WA 98223(360) 474-9163(360) 474-9180 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumnwood Dental NPPES

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

AUTUMNWOOD DENTAL (NPI 1144533142) is a healthcare organization registered as a dental in Arlington, Washington and active in the NPI registry since July 2010. The organization lists Bakhtiar Ardi Pribadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1144533142
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBAKHTIAR ARDI PRIBADI DDS PS
Location Address430 N WEST AVE STE 1Arlington, WA 98223-1539
Mailing Address430 N West Ave Ste 1Arlington, WA 98223-1539 · (360) 474-9163 · Fax (360) 474-9180
Phone(360) 474-9163
Fax(360) 474-9180
Organization SubpartNo
Authorized OfficialBakhtiar Ardi PribadiOwner · (360) 474-9163
Enumeration DateJuly 19, 2010
Last NPPES UpdateJuly 29, 2010
✔ NPI 1144533142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · DE00010465
430 N WEST AVE STE 1, Arlington, WA 98223
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Other Names 1

Doing Business AsAutumnwood Dental

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAKHTIAR ARDI PRIBADI D.D.S.
Dentist
430 N WEST AVE STE 1
ARLINGTON, WA 98223
Snohomish County (360) 474-9163
STILLAGUAMISH TRIBE OF INDIANS
Clinic/Center (Dental)
430 N WEST AVE STE 1
ARLINGTON, WA 98223
Snohomish County (360) 403-8761

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 Bakhtiar Ardi Pribadi Dds Ps's NPI number?

The NPI number for Bakhtiar Ardi Pribadi Dds Ps is 1144533142. It was assigned to this organization in the NPPES registry on July 19, 2010. The provider is doing business as Autumnwood Dental.

Where is Bakhtiar Ardi Pribadi Dds Ps located?

Bakhtiar Ardi Pribadi Dds Ps is located at 430 N West Ave Ste 1, Arlington, WA 98223. The listed phone number is (360) 474-9163.

What is Bakhtiar Ardi Pribadi Dds Ps's specialty?

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

When was this NPI record last updated?

The NPPES record for Bakhtiar Ardi Pribadi Dds Ps was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.