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

Fairwood Pedodonticsllc

Organization Pediatric Dentistry · NPI 1164197125

Fairwood Pedodonticsllc is a Pediatric Dentistry in Renton, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

14246 SE 176th St
Renton, WA 98058-8787
Phone: (425) 523-1211
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1164197125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Probst — Owner/Dentist · (253) 631-3015
Other names Comfort Dental Kids Fairwood
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address14246 Se 176th St, Renton, WA 98058-8787

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