OrganizationActive
Crystal Dental Inc.
NPI 1184047466 · General Practice Dentistry · Renton, WA
Provider details
- NPI number
- 1184047466
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chris Lee, Dentist(425) 282-4182
- License
- DE60389882 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
12644 164th Ave Se
Renton, WA 98059-6403
Phone: (425) 282-4182
Fax: (425) 572-6072
Street-level locationGet directions
Mailing address
12644 164th Ave Se
Renton, WA 98059-6403
Registry dates
- Enumerated
- 2014-01-23
- Last updated
- 2014-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.