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COMFORT DENTAL KIDS FAIRWOOD
NPI 1164197125
Dentist - Pediatric Dentistry in Renton, WA

Active since August 11, 2021
14246 SE 176TH ST, RENTON, WA 98058(425) 523-1211 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Comfort Dental Kids Fairwood NPPES

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

COMFORT DENTAL KIDS FAIRWOOD (NPI 1164197125) is a healthcare organization registered as a pediatric dentistry in Renton, Washington and active in the NPI registry since August 2021. The organization lists Travis Probst, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1164197125
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFAIRWOOD PEDODONTICSLLC
Location Address14246 SE 176TH STRenton, WA 98058-8787
Mailing Address14246 Se 176th StRenton, WA 98058-8787
Phone(425) 523-1211
Organization SubpartNo
Authorized OfficialTravis ProbstOwner/dentist · (253) 631-3015
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1164197125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
14246 SE 176TH ST, Renton, WA 98058
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Other Names 1

Doing Business AsComfort Dental Kids Fairwood

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. LUKE-HIEU QUANG NGUYEN DDS, MSD
Dentist (Pediatric Dentistry)
14246 SE 176TH ST
RENTON, WA 98058
King County (425) 437-8811

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 Fairwood Pedodonticsllc's NPI number?

The NPI number for Fairwood Pedodonticsllc is 1164197125. It was assigned to this organization in the NPPES registry on August 11, 2021. The provider is doing business as Comfort Dental Kids Fairwood.

Where is Fairwood Pedodonticsllc located?

Fairwood Pedodonticsllc is located at 14246 SE 176th St, Renton, WA 98058. The listed phone number is (425) 523-1211.

What is Fairwood Pedodonticsllc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Fairwood Pedodonticsllc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Fairwood Pedodonticsllc 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 Fairwood Pedodonticsllc was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.