OrganizationActive
Eastridge Family Dental
NPI 1700297967 · General Practice Dentistry · Kent, WA
Eastridge Family Dental is a General Practice Dentistry organization in Kent, WA (NPI 1700297967).
Provider details
- NPI number
- 1700297967
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jayanthi Bantwal, Dentist(253) 277-2620
- License
- 9467 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
24837 104th Ave Se
103
Kent, WA 98030-6800
Phone: (253) 277-2620
Fax: (253) 277-2659
Street-level locationGet directions
Mailing address
24837 104th Ave Se
Kent, WA 98030-6800
Registry dates
- Enumerated
- 2014-05-09
- Last updated
- 2014-05-09
Frequently asked questions
- What is Eastridge Family Dental's NPI number?
- Eastridge Family Dental's National Provider Identifier (NPI) is 1700297967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastridge Family Dental?
- Eastridge Family Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Eastridge Family Dental located?
- Eastridge Family Dental's practice location on file with NPPES is 24837 104th Ave Se, Kent, WA 98030-6800.
- What is Eastridge Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Eastridge Family Dental is (253) 277-2620.
- Who is the authorized official for Eastridge Family Dental?
- The authorized official listed on Eastridge Family Dental's NPPES record is Jayanthi Bantwal, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastridge Family Dental's NPI active?
- Yes — Eastridge Family Dental's NPI (1700297967) is active in the NPPES registry as of the last update on 2014-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.