Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154127710 Individual Practitioner Female Practitioner

Shruthi Venugopalakrishnan

Dentist - General Practice • Kent, WA

Professional Overview & Biography Verified Profile Summary

Shruthi Venugopalakrishnan is a registered healthcare professional specializing in Dentist - General Practice in Kent, WA. Practice services are available at 25610 104TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25610 104th Ave Se

Kent, WA 980307610

Telephone 2069137272
Associated Practice Facility / Clinic
🏢 Nurani, Mitchell, Kim, Pc Facility NPI 1053756049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kent, WA

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

Practicing in Kent, 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

CMS Verified: 2025-08-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DENT.DE.70007756

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

Uw Department Of Oral Surgery-1959 Ne Pacific Street, Box 357134

Seattle, WA 98195

Phone: 2069137272

Practice Associates & Co-Workers

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

6 Associated Practitioners
Peter Chung

Dentist - General Practice

NPI 1063726719
Dr. Hosan Park , DDS

Dentist - Periodontics

NPI 1104363019

Doctor of Dental Surgery

Dr. Tameem Anwar , DDS

Dentist - General Practice

NPI 1104999853

Doctor of Dental Surgery

Dr. Benjamin Dorantes , DDS

Dentist - General Practice

NPI 1144393893

Doctor of Dental Surgery

Thomas Faber

Dentist - Periodontics

NPI 1376607465
Dr. Julie Kim , DMD

Dentist - General Practice

NPI 1447636618

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 21, 2025

Registered at 25610 104TH AVE SE, KENT, WA 980307610 (Tel: 2069137272)

📍
Updated Business Mailing Address August 21, 2025

Registered at 25610 104TH AVE SE, KENT, WA 980307610

NPI Profile Active February 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2025

Registered at UW DEPARTMENT OF ORAL SURGERY-1959 NE PACIFIC STREET, BOX 357134, SEATTLE, WA 98195 (Tel: 2069137272)

📍
Updated Business Mailing Address February 24, 2025

Registered at UW DEPARTMENT OF ORAL SURGERY, 1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195

👤
Provider Name / Credentials Updated February 24, 2025

Recorded as SHRUTHI VENUGOPALAKRISHNAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 24, 2025

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: 1154127710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2025
Last Update: August 21, 2025
Sole Proprietor: No

Mailing Address

25610 104th Ave Se

Kent, WA 980307610

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.