MARCO OKTOVIATOR WAWORUNTU
NPI 1235839259
Dentist in Tacoma, WA

Q: What is Marco Waworuntu's NPI number?

The NPI number for Marco Waworuntu is 1235839259. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Q: What is Marco Waworuntu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Marco Waworuntu was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 08, 2023

5003 TACOMA MALL BLVD STE 103, TACOMA, WA 98409(253) 881-8780 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2024, May 23, 2023, Mar 8, 2023 (3 updates tracked since 2023).

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About Marco Oktoviator Waworuntu NPPES

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

MARCO OKTOVIATOR WAWORUNTU (NPI 1235839259) is an individual dentist in Tacoma, Washington, licensed in Washington (61565869) and active in the NPI registry since March 2023. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235839259

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMARCO OKTOVIATOR WAWORUNTU

Location Address5003 TACOMA MALL BLVD STE 103Tacoma, WA 98409-7120

Mailing Address5003 Tacoma Mall BlvdTacoma, WA 98409-7120

Phone(253) 881-8780

Sole ProprietorNo

Enumeration DateMarch 8, 2023

Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1235839259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · 61565869

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5003 TACOMA MALL BLVD STE 103, Tacoma, WA 98409

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Secondary Practice Locations 2

Location 111201 88th Ave E Ste 110Puyallup, WA 98373-3802 · Phone (253) 848-2988

Location 218710 Meridian E Ste 216Puyallup, WA 98375-2231 · Phone (253) 321-1198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DALE L. VANDERSCHELDEN, DDS CHARTERED

Dentist (General Practice)

5003 TACOMA MALL BLVD STE 103
TACOMA, WA 98409

Pierce County (253) 759-3366

DONG WU HAN DMD, PLLC.

Dentist (General Practice)

5003 TACOMA MALL BLVD STE 103
TACOMA, WA 98409

Pierce County (253) 759-3366

DONG CHAN LEE DDS

Dentist

5003 TACOMA MALL BLVD STE 103
TACOMA, WA 98409

Pierce County (253) 759-3366

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 Marco Waworuntu's NPI number?

The NPI number for Marco Waworuntu is 1235839259. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Marco Waworuntu located?

Marco Waworuntu practices at 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409. The listed phone number is (253) 881-8780.

What is Marco Waworuntu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Marco Waworuntu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Marco Waworuntu 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 Marco Waworuntu was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.