OrganizationActive
Lake Meridian Dental LLC
NPI 1093110215 · Dentist · Kent, WA
Lake Meridian Dental LLC is a Dentist organization in Kent, WA (NPI 1093110215).
Provider details
- NPI number
- 1093110215
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Travis Probst, Dentist(253) 631-3015
- License
- DE60198294 (WA)
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
12906 Se Kent Kangley Rd
Kent, WA 98030-7940
Phone: (253) 631-3015
Street-level locationGet directions
Mailing address
12906 Se Kent Kangley Rd
Kent, WA 98030-7940
Other names (DBA / former)
- Doing business as
- Comfort Dental Lake Meridian
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2014-10-30
Frequently asked questions
- What is Lake Meridian Dental LLC's NPI number?
- Lake Meridian Dental LLC's National Provider Identifier (NPI) is 1093110215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Meridian Dental LLC?
- Lake Meridian Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Meridian Dental LLC located?
- Lake Meridian Dental LLC's practice location on file with NPPES is 12906 Se Kent Kangley Rd, Kent, WA 98030-7940.
- What is Lake Meridian Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Meridian Dental LLC is (253) 631-3015.
- Who is the authorized official for Lake Meridian Dental LLC?
- The authorized official listed on Lake Meridian Dental LLC's NPPES record is Travis Probst, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Meridian Dental LLC's NPI active?
- Yes — Lake Meridian Dental LLC's NPI (1093110215) is active in the NPPES registry as of the last update on 2014-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.