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LITTLE SPROUTS KIDS DENTISTRY
NPI 1205373891
Clinic/Center - Dental in University Place, WA

Active since January 20, 2017
4111 BRIDGEPORT WAY W, SUITE D, UNIVERSITY PLACE, WA 98466(626) 241-2669 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little Sprouts Kids Dentistry NPPES

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

LITTLE SPROUTS KIDS DENTISTRY (NPI 1205373891) is a healthcare organization registered as a dental in University Place, Washington and active in the NPI registry since January 2017. The organization lists Melisa Tirtaputra Susanto, D.d.s, M.s., as its authorized official.

NPPES Registry Identity

NPI1205373891
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLITTLE SPROUTS KIDS DENTISTRY
Location Address4111 BRIDGEPORT WAY W, SUITE DUniversity Place, WA 98466-4327
Mailing Address4111 Bridgeport Way W, Suite DUniversity Place, WA 98466-4327
Phone(626) 241-2669
Organization SubpartNo
Authorized OfficialMelisa Tirtaputra SusantoD.d.s, M.s. · (626) 241-2669
Enumeration DateJanuary 20, 2017
✔ NPI 1205373891 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 · DE 60481607
4111 BRIDGEPORT WAY W, University Place, WA 98466
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. KEN P RING DDS
Dentist (General Practice)
4111 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 565-9633

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 Little Sprouts Kids Dentistry's NPI number?

The NPI number for Little Sprouts Kids Dentistry is 1205373891. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Little Sprouts Kids Dentistry located?

Little Sprouts Kids Dentistry is located at 4111 Bridgeport Way W Suite D, University Place, WA 98466. The listed phone number is (626) 241-2669.

What is Little Sprouts Kids Dentistry's specialty?

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

What insurance does Little Sprouts Kids Dentistry accept?

Health plans from UnitedHealthcare list Little Sprouts Kids Dentistry 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 Little Sprouts Kids Dentistry was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.