OrganizationActive
Davinci Dental
NPI 1366822017 · Dental Clinic/Center · Bellevue, WA
Provider details
- NPI number
- 1366822017
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beau Keller, Dentist(425) 409-9999
- License
- 60555911 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 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
909 112th Ave Ne Ste P104
Davinci Dental
Bellevue, WA 98004-8589
Phone: (425) 409-9999
Street-level locationGet directions
Mailing address
909 112th Ave Ne Ste P104
Bellevue, WA 98004-8589
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2015-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.