Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720169410 Individual Practitioner Male Practitioner

Dr. Kirk L Boettcher , DDS

Dentist - General Practice • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Boettcher, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bellevue, WA. Practice services are available at 12600 SE 38TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12600 Se 38th St
#204

Bellevue, WA 980066105

Telephone 4257476640
Associated Practice Facility / Clinic
🏢 Factoria Hearing Center Inc. Facility NPI 1992970339

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Bellevue, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 4903

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Susan Kim , DDS

Dentist - Pediatric Dentistry

NPI 1033219936

Doctor of Dental Surgery

Jolie Steers , MA, LMFT

Marriage & Family Therapist

NPI 1124368428

Master of Arts, Licensed Marriage and Family Therapist

NPI 1174863781

Doctor of Psychology (Psy.D.), Master of Social Work, Licensed Mental Health Counselor

NPI 1306906722

Doctor of Medicine (M.D.)

Dr. Roger Chin , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1316966658

Doctor of Dental Surgery

Dr. Duk Han , DC

Chiropractor - Nutrition

NPI 1417113671

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2012

Registered at 12600 SE 38TH ST, #204, BELLEVUE, WA 980066105 (Tel: 4257476640)

📍
Updated Business Mailing Address June 11, 2012

Registered at 12600 SE 38TH ST, #204, BELLEVUE, WA 980066105 (Tel: 4257476640)

👤
Provider Name / Credentials Updated June 11, 2012

Recorded as KIRK BOETTCHER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

Dentist (License #4903 in WA)

🟢
Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720169410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: June 11, 2012
Sole Proprietor: Yes

Mailing Address

12600 Se 38th St, #204

Bellevue, WA 980066105

Phone: 4257476640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.