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DENTISTRY @ RENTON
NPI 1629718978
Dentist in Renton, WA

Active since April 01, 2022
19221 108TH AVE SE STE 4, RENTON, WA 98055(253) 852-4746 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2022, Apr 7, 2022 (2 updates tracked since 2022).

About Dentistry @ Renton NPPES

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

DENTISTRY @ RENTON (NPI 1629718978) is a healthcare organization registered as a dentist in Renton, Washington and active in the NPI registry since April 2022. The organization lists Brenda Gray, Team Leader, as its authorized official.

NPPES Registry Identity

NPI1629718978
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDENTISTRY @ RENTON
Location Address19221 108TH AVE SE STE 4Renton, WA 98055-7369
Mailing Address21230 State Route 410 EBonney Lake, WA 98391-8789 · (253) 236-7456
Phone(253) 852-4746
Organization SubpartNo
Authorized OfficialBrenda GrayTeam Leader · (253) 236-7456
Enumeration DateApril 1, 2022
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1629718978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
19221 108TH AVE SE STE 4, Renton, WA 98055
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PHILIP N. HODGE, DDS, PS
Dentist
19221 108TH AVE SE STE 4
RENTON, WA 98055
King County (253) 852-4746

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 Dentistry @ Renton's NPI number?

The NPI number for Dentistry @ Renton is 1629718978. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Dentistry @ Renton located?

Dentistry @ Renton is located at 19221 108th Ave SE Ste 4, Renton, WA 98055. The listed phone number is (253) 852-4746.

What is Dentistry @ Renton's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Dentistry @ Renton was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.