Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastridge Family Dental

Organization General Practice Dentistry · NPI 1700297967

Eastridge Family Dental is a General Practice Dentistry in Kent, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

24837 104th Ave SE 103
Kent, WA 98030-6800
Phone: (253) 277-2620
Fax: (253) 277-2659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9467 (WA)

Record details

NPI number1700297967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayanthi Bantwal — Dentist · (253) 277-2620
NPI enumeratedMay 9, 2014
Last updated in NPPESMay 9, 2014
Mailing address24837 104th Ave Se, 103, Kent, WA 98030-6800

Other providers in Kent