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

Little Sprouts Kids Dentistry

Organization Dental Clinic/Center · NPI 1205373891

Little Sprouts Kids Dentistry provides Dental Clinic/Center services in University Place, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017

Practice location Address checks out

4111 Bridgeport Way W Ste D
University Place, WA 98466-4327
Phone: (626) 241-2669
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DE 60481607 (WA)

Record details

NPI number1205373891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melisa Susanto — D.D.S, M.S. · (626) 241-2669
NPI enumeratedJanuary 20, 2017
Last updated in NPPESJanuary 20, 2017
Mailing address4111 Bridgeport Way W, Suite D, University Place, WA 98466-4327

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