OrganizationActive
Bonney Lake Dental LLC
NPI 1073088423 · Dental Clinic/Center · Bonney Lake, WA
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(67/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.