# KYLE BLAIR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Covington Family Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346693892
- **Authorized official:** MR. KLYE S BLAIR DDS (DOCTOR)
- **Authorized official phone:** (253) 630-5500

## Contact information

- **Practice address:** 17121 SE 270TH PL STE 202, COVINGTON, WA 98042-5431
- **Practice address phone:** (253) 630-5500
- **Mailing address:** 17121 SE 270TH PL STE 202, COVINGTON, WA 98042-5431
- **Mailing address phone:** (253) 630-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60170682 | WA | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1245546068 | NPI | WA |