Healthcare Provider Details

I. General information

NPI: 1376482539
Provider Name (Legal Business Name): ROBERT ANDREW BEATY, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31003 PACIFIC HWY S
FEDERAL WAY WA
98003-4903
US

IV. Provider business mailing address

31003 PACIFIC HWY S
FEDERAL WAY WA
98003-4903
US

V. Phone/Fax

Practice location:
  • Phone: 253-839-6544
  • Fax: 253-839-9060
Mailing address:
  • Phone: 253-839-6544
  • Fax: 253-839-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SALLY SINKEVICH
Title or Position: OFFICE MANAGER
Credential:
Phone: 253-839-6544