OrganizationActive
Dentistry @ Renton
NPI 1629718978 · Dentist · Renton, WA
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(60/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.