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Eastridge Family Dental

General Practice Dentistry in Kent, WA · enumerated 2014 · authorized official Jayanthi Bantwal, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700297967

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Registry record

Entity type Organization (Type 2)
Legal business name Eastridge Family Dental
Practice address 24837 104th Ave Se, 103, Kent, WA, 98030
Phone (253) 277-2620
Fax (253) 277-2659
Enumeration date May 9, 2014
Last updated in NPPES May 9, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 9467 (WA) Primary

Authorized official

Name Jayanthi Bantwal
Title Dentist
Phone (253) 277-2620

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Eastridge Family Dental?
Eastridge Family Dental is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-09.