OrganizationActive
Aesthetic and General Dentistry
NPI 1437605979 · General Practice Dentistry · Kent, WA
Provider details
- NPI number
- 1437605979
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Diana Blidchenko, Receptionist(253) 854-6300
- License
- 4845 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
121 Kennebeck Ave N
Kent, WA 98030-4621
Phone: (253) 854-6300
Street-level locationGet directions
Mailing address
121 Kennebeck Ave N
Kent, WA 98030-4621
Registry dates
- Enumerated
- 2016-08-25
- Last updated
- 2016-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.