OrganizationActive
Fairwood Pedodonticsllc
NPI 1164197125 · Pediatric Dentistry · Renton, WA
Provider details
- NPI number
- 1164197125
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Travis Probst, Owner/Dentist(253) 631-3015
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
14246 Se 176th St
Renton, WA 98058-8787
Phone: (425) 523-1211
Street-level locationGet directions
Mailing address
14246 Se 176th St
Renton, WA 98058-8787
Other names (DBA / former)
- Doing business as
- Comfort Dental Kids Fairwood
Registry dates
- Enumerated
- 2021-08-11
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.