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ANDREA M FONNER, DDS
NPI 1043147416
Dentist - Dentist Anesthesiologist in Puyallup, WA

Active since May 07, 2026
1420 3RD ST SE, PUYALLUP, WA 98372(206) 579-5163 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea M Fonner, Dds NPPES

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

ANDREA M FONNER, DDS (NPI 1043147416) is a healthcare organization registered as a dentist anesthesiologist in Puyallup, Washington and active in the NPI registry since May 2026. The organization lists Andrea Fonner, Owner, as its authorized official.

NPPES Registry Identity

NPI1043147416
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameANDREA M FONNER, DDS
Location Address1420 3RD ST SEPuyallup, WA 98372-3730
Mailing Address6947 Coal Creek Pkwy Se # 707Newcastle, WA 98059-3136 · (206) 579-5163
Phone(206) 579-5163
Organization SubpartNo
Authorized OfficialAndrea FonnerOwner · (206) 579-5163
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1043147416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
1420 3RD ST SE, Puyallup, WA 98372
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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.

DR. TYLER TRUDEAU DPT
Physical Therapist
1420 3RD ST SE, STE. 102
PUYALLUP, WA 98372
Pierce County (253) 770-1807
PEDIATRIC HEALTH CARE
Nurse Practitioner (Pediatrics)
1420 3RD ST SE, STE. 200
PUYALLUP, WA 98372
Pierce County (253) 848-7660
SCOTT JOHN SOEDER LCO
Orthotist
1420 3RD ST SE, SUITE 108
PUYALLUP, WA 98372
Pierce County (253) 840-0227
CHELL ANTOINETTE LITTLE LMP
Massage Therapist
1420 3RD ST SE, SUITE 102
PUYALLUP, WA 98372
Pierce County (253) 770-1807

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 Andrea M Fonner, Dds's NPI number?

The NPI number for Andrea M Fonner, Dds is 1043147416. It was assigned to this organization in the NPPES registry on May 7, 2026.

Where is Andrea M Fonner, Dds located?

Andrea M Fonner, Dds is located at 1420 3rd St SE, Puyallup, WA 98372. The listed phone number is (206) 579-5163.

What is Andrea M Fonner, Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Andrea M Fonner, Dds was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.