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MK PERIODONTICS & IMPLANTS
NPI 1639458722
Dentist - Periodontics in Puyallup, WA

Active since August 08, 2011
819 39TH AVE SW STE B, PUYALLUP, WA 98373(253) 752-6336(253) 752-5655 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mk Periodontics & Implants NPPES

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

MK PERIODONTICS & IMPLANTS (NPI 1639458722) is a healthcare organization registered as a periodontics in Puyallup, Washington and active in the NPI registry since August 2011. The organization lists Minou Karbakhsch, Owner, as its authorized official.

NPPES Registry Identity

NPI1639458722
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameKARBAKHSCH PERIODONTICS & IMPLANTS - SOUTH PLLC
Location Address819 39TH AVE SW STE BPuyallup, WA 98373-3306
Mailing Address2302 S Union Ave Ste C22Tacoma, WA 98405-1334 · (253) 752-6336 · Fax (253) 752-5655
Phone(253) 752-6336
Fax(253) 752-5655
Organization SubpartYesParent: Karbakhsch Periodontics & Implants
Authorized OfficialMinou KarbakhschOwner · (253) 752-6336
Enumeration DateAugust 8, 2011
✔ NPI 1639458722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · 8579
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
819 39TH AVE SW STE B, Puyallup, WA 98373
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Other Names 1

Doing Business AsMk Periodontics & Implants

Other Identifiers 1

Other8579WA · Washington State Dental License

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

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

PLA & WATTS DDS MSD PLLC
Dentist (Endodontics)
819 39TH AVE SW STE B
PUYALLUP, WA 98373
Pierce County (253) 770-1500

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 Karbakhsch Periodontics & Implants - South PLLC's NPI number?

The NPI number for Karbakhsch Periodontics & Implants - South PLLC is 1639458722. It was assigned to this organization in the NPPES registry on August 8, 2011. The provider is doing business as Mk Periodontics & Implants.

Where is Karbakhsch Periodontics & Implants - South PLLC located?

Karbakhsch Periodontics & Implants - South PLLC is located at 819 39th Ave SW Ste B, Puyallup, WA 98373. The listed phone number is (253) 752-6336.

What is Karbakhsch Periodontics & Implants - South PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Karbakhsch Periodontics & Implants - South PLLC was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.