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PEDRAUM HEYDARI DMD
NPI 1740778695
Dentist in Puyallup, WA

Active since April 26, 2018
109 N MERIDIAN SUITE A, PUYALLUP, WA 98371(253) 848-5033 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2019, Nov 15, 2018, Apr 26, 2018 (3 updates tracked since 2018).

About Pedraum Heydari Dmd NPPES

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

PEDRAUM HEYDARI DMD (NPI 1740778695) is an individual dentist in Puyallup, Washington, licensed in Washington (DE60871932) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1740778695
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePEDRAUM HEYDARICredential: DMD
Location Address109 N MERIDIAN SUITE APuyallup, WA 98371
Mailing Address109 N Meridian Suite APuyallup, WA 98371 · (253) 848-5033
Phone(253) 848-5033
Sole ProprietorYes
Enumeration DateApril 26, 2018
Last NPPES UpdateAugust 27, 20193 updates tracked since enumeration
✔ NPI 1740778695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60871932
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.
109 N MERIDIAN SUITE A, Puyallup, WA 98371
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.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 Pedraum Heydari's NPI number?

The NPI number for Pedraum Heydari is 1740778695. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Pedraum Heydari located?

Pedraum Heydari practices at 109 N Meridian Suite A, Puyallup, WA 98371. The listed phone number is (253) 848-5033.

What is Pedraum Heydari's specialty?

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

What insurance does Pedraum Heydari accept?

Health plans from Humana and Renaissance Dental list Pedraum Heydari 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 Pedraum Heydari was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.