AVENUE DENTAL CARE
NPI 1013123181
Dentist - General Practice in Puyallup, WA

Active since May 15, 2007
10317 122ND ST E, SUITE D, PUYALLUP, WA 98374(253) 435-5656(253) 435-5838 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avenue Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENUE DENTAL CARE (NPI 1013123181) is a healthcare organization registered as a general practice in Puyallup, Washington and active in the NPI registry since May 2007. The organization lists Mahadeep S Virk, President, as its authorized official.

NPPES Registry Identity

NPI1013123181
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAHADEEP VIRK, DMD-PUYALLUP
Location Address10317 122ND ST E, SUITE DPuyallup, WA 98374-2632
Mailing Address10317 122nd St E, Suite DPuyallup, WA 98374-2632 · (253) 435-5656 · Fax (253) 435-5838
Fax(253) 435-5838
Organization SubpartNo
Authorized OfficialMahadeep S VirkPresident · (253) 435-5656
Enumeration DateMay 15, 2007
Last NPPES UpdateDecember 21, 2010
NPI 1013123181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

10317 122ND ST E, Puyallup, WA 98374

Other Names 1

Doing Business AsAvenue Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
10317 122ND ST E, SUITE A
PUYALLUP, WA 98374
Dentist (General Practice)
10317 122ND ST E, STE D
PUYALLUP, WA 98374
Durable Medical Equipment & Medical Supplies
10317 122ND ST E, SUITE D
PUYALLUP, WA 98374
Dentist (General Practice)
10317 122ND ST E, SUITE D
PUYALLUP, WA 98374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahadeep Virk, Dmd-Puyallup's NPI number?

The NPI number for Mahadeep Virk, Dmd-Puyallup is 1013123181. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Avenue Dental Care.

Where is Mahadeep Virk, Dmd-Puyallup located?

Mahadeep Virk, Dmd-Puyallup is located at 10317 122nd St E Suite D, Puyallup, WA 98374. The listed phone number is (253) 435-5656.

What is Mahadeep Virk, Dmd-Puyallup's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mahadeep Virk, Dmd-Puyallup was last updated on December 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.