PUYALLUP PARK DENTAL
NPI 1164919981
Dentist - General Practice in Puyallup, WA

Q: What is Puyallup Park Dental's NPI number?

The NPI number for Puyallup Park Dental is 1164919981. It was assigned to this organization in the NPPES registry on April 17, 2018.

Q: What is Puyallup Park Dental's specialty?

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

Active since April 17, 2018

13909 MERIDIAN E STE A1, PUYALLUP, WA 98373(253) 435-0333(253) 435-0362 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Puyallup Park Dental NPPES

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

PUYALLUP PARK DENTAL (NPI 1164919981) is a healthcare organization registered as a general practice in Puyallup, Washington and active in the NPI registry since April 2018. The organization lists Byungjun Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1164919981

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePUYALLUP PARK DENTAL

Location Address13909 MERIDIAN E STE A1Puyallup, WA 98373-9180

Mailing Address13909 Meridian E Ste A1Puyallup, WA 98373-9180 · (253) 435-0333 · Fax (253) 435-0362

Phone(253) 435-0333

Fax(253) 435-0362

Organization SubpartNo

Authorized OfficialByungjun ParkOwner · (253) 435-0333

Enumeration DateApril 17, 2018

✔ NPI 1164919981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE60048922

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.

13909 MERIDIAN E STE A1, Puyallup, WA 98373

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.Insurance ›

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 Puyallup Park Dental's NPI number?

The NPI number for Puyallup Park Dental is 1164919981. It was assigned to this organization in the NPPES registry on April 17, 2018.

Where is Puyallup Park Dental located?

Puyallup Park Dental is located at 13909 Meridian E Ste A1, Puyallup, WA 98373. The listed phone number is (253) 435-0333.

What is Puyallup Park Dental's specialty?

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

What insurance does Puyallup Park Dental accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Puyallup Park Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Puyallup Park Dental was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.