OrganizationActive
Dentistry @ Renton
NPI 1629718978 · Dentist · Renton, WA
Dentistry @ Renton is a Dentist organization in Renton, WA (NPI 1629718978).
Provider details
- NPI number
- 1629718978
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brenda Gray, Team Leader(253) 236-7456
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 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
19221 108th Ave Se Ste 4
Renton, WA 98055-7369
Phone: (253) 852-4746
Street-level locationGet directions
Mailing address
21230 State Route 410 E
Bonney Lake, WA 98391-8789
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2022-04-26
- Certified
- 2022-04-08
Frequently asked questions
- What is Dentistry @ Renton's NPI number?
- Dentistry @ Renton's National Provider Identifier (NPI) is 1629718978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dentistry @ Renton?
- Dentistry @ Renton is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dentistry @ Renton located?
- Dentistry @ Renton's practice location on file with NPPES is 19221 108th Ave Se Ste 4, Renton, WA 98055-7369.
- What is Dentistry @ Renton's phone number?
- The practice phone number listed in the NPPES registry for Dentistry @ Renton is (253) 852-4746.
- Who is the authorized official for Dentistry @ Renton?
- The authorized official listed on Dentistry @ Renton's NPPES record is Brenda Gray, Team Leader. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dentistry @ Renton's NPI active?
- Yes — Dentistry @ Renton's NPI (1629718978) is active in the NPPES registry as of the last update on 2022-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.