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 provides 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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