Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Meridian Dental LLC

Organization Dentist · NPI 1093110215

Lake Meridian Dental LLC provides Dentist services in Kent, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12906 SE Kent Kangley Rd
Kent, WA 98030-7940 Not confirmed with CMS for 11 years — call before visiting
Phone: (253) 631-3015
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE60198294 (WA)

Record details

NPI number1093110215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Probst — Dentist · (253) 631-3015
Other names Comfort Dental Lake Meridian
NPI enumeratedOctober 30, 2014
Last updated in NPPESOctober 30, 2014
Mailing address12906 Se Kent Kangley Rd, Kent, WA 98030-7940

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