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DAVINCI DENTAL
NPI 1366822017
Clinic/Center - Dental in Bellevue, WA

Active since June 08, 2015
909 112TH AVE NE STE P104, DAVINCI DENTAL, BELLEVUE, WA 98004(425) 409-9999 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Davinci Dental NPPES

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

DAVINCI DENTAL (NPI 1366822017) is a healthcare organization registered as a dental in Bellevue, Washington and active in the NPI registry since June 2015. The organization lists Beau Jerome Keller, Dentist, as its authorized official.

NPPES Registry Identity

NPI1366822017
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDAVINCI DENTAL
Location Address909 112TH AVE NE STE P104, DAVINCI DENTALBellevue, WA 98004-8589
Mailing Address909 112th Ave Ne Ste P104, Davinvi DentalBellevue, WA 98004-8589 · (425) 409-9999
Phone(425) 409-9999
Organization SubpartNo
Authorized OfficialBeau Jerome KellerDentist · (425) 409-9999
Enumeration DateJune 8, 2015
✔ NPI 1366822017 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 · 60555911
909 112TH AVE NE STE P104, Bellevue, WA 98004
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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. ANDREW JAMES KELLER D.M.D.
Dentist
909 112TH AVE NE STE P104
BELLEVUE, WA 98004
King County (425) 409-9999

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 Davinci Dental's NPI number?

The NPI number for Davinci Dental is 1366822017. It was assigned to this organization in the NPPES registry on June 8, 2015.

Where is Davinci Dental located?

Davinci Dental is located at 909 112th Ave NE Ste P104 Davinci Dental, Bellevue, WA 98004. The listed phone number is (425) 409-9999.

What is Davinci Dental'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 Davinci Dental was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.