OrganizationActive
Serenity Dental
NPI 1013311729 · General Practice Dentistry · Vancouver, WA
Provider details
- NPI number
- 1013311729
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Supriya Goverdhanam, Owner(360) 696-0471
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6614 E Mill Plain Blvd
Vancouver, WA 98661-7458
Phone: (360) 696-0471
Fax: (360) 993-8881
Street-level locationGet directions
Mailing address
6614 E Mill Plain Blvd
Vancouver, WA 98661-7458
Registry dates
- Enumerated
- 2014-10-09
- Last updated
- 2014-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.