OrganizationActive
Bonney Lake Dental LLC
NPI 1073088423 · Dental Clinic/Center · Bonney Lake, WA
Bonney Lake Dental LLC is a Dental Clinic/Center organization in Bonney Lake, WA (NPI 1073088423).
Provider details
- NPI number
- 1073088423
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Travis Probst, Owner /Dentist(719) 352-5773
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
19410 State Route 410 E
Bonney Lake, WA 98391-8470
Phone: (253) 780-7003
Approximate (ZIP-level) locationGet directions
Mailing address
19410 State Route 410 E
Bonney Lake, WA 98391-8470
Other names (DBA / former)
- Doing business as
- Comfort Dental Bonney Lake
Registry dates
- Enumerated
- 2018-10-11
- Last updated
- 2018-10-11
Frequently asked questions
- What is Bonney Lake Dental LLC's NPI number?
- Bonney Lake Dental LLC's National Provider Identifier (NPI) is 1073088423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonney Lake Dental LLC?
- Bonney Lake Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bonney Lake Dental LLC located?
- Bonney Lake Dental LLC's practice location on file with NPPES is 19410 State Route 410 E, Bonney Lake, WA 98391-8470.
- What is Bonney Lake Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Bonney Lake Dental LLC is (253) 780-7003.
- Who is the authorized official for Bonney Lake Dental LLC?
- The authorized official listed on Bonney Lake Dental LLC's NPPES record is Travis Probst, Owner /Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonney Lake Dental LLC's NPI active?
- Yes — Bonney Lake Dental LLC's NPI (1073088423) is active in the NPPES registry as of the last update on 2018-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.