OrganizationActive
The Mill Creek Dentist
NPI 1205209913 · General Practice Dentistry · Mill Creek, WA
The Mill Creek Dentist is a General Practice Dentistry organization in Mill Creek, WA (NPI 1205209913).
Provider details
- NPI number
- 1205209913
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Walter, Owner(425) 745-4661
- License
- DE00005339 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
16306 Bothell Everett Hwy
Suite B
Mill Creek, WA 98012-1283
Phone: (425) 745-4661
Fax: (425) 491-7077
Street-level locationGet directions
Mailing address
16306 Bothell Everett Hwy
Mill Creek, WA 98012-1283
Registry dates
- Enumerated
- 2015-11-03
- Last updated
- 2015-11-03
Frequently asked questions
- What is The Mill Creek Dentist's NPI number?
- The Mill Creek Dentist's National Provider Identifier (NPI) is 1205209913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Mill Creek Dentist?
- The Mill Creek Dentist is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is The Mill Creek Dentist located?
- The Mill Creek Dentist's practice location on file with NPPES is 16306 Bothell Everett Hwy, Mill Creek, WA 98012-1283.
- What is The Mill Creek Dentist's phone number?
- The practice phone number listed in the NPPES registry for The Mill Creek Dentist is (425) 745-4661.
- Who is the authorized official for The Mill Creek Dentist?
- The authorized official listed on The Mill Creek Dentist's NPPES record is Kim Walter, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Mill Creek Dentist's NPI active?
- Yes — The Mill Creek Dentist's NPI (1205209913) is active in the NPPES registry as of the last update on 2015-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.