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PUYALLUP FAMILY DENTAL
NPI 1891158317
Dentist - General Practice in Puyallup, WA

Active since April 01, 2016
5620 112TH ST E, SUITE 250, PUYALLUP, WA 98373(253) 770-0529(253) 770-9638 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Puyallup Family Dental NPPES

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

PUYALLUP FAMILY DENTAL (NPI 1891158317) is a healthcare organization registered as a general practice in Puyallup, Washington and active in the NPI registry since April 2016. The organization lists Tamara Rosario, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891158317
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKORSMO & HENRY DDD PS
Location Address5620 112TH ST E, SUITE 250Puyallup, WA 98373-3206
Mailing Address5620 112th St E, Suite 250Puyallup, WA 98373-3206 · (253) 770-0529 · Fax (253) 770-9638
Phone(253) 770-0529
Fax(253) 770-9638
Organization SubpartNo
Authorized OfficialTamara RosarioOffice Manager · (253) 770-0529
Enumeration DateApril 1, 2016
✔ NPI 1891158317 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 · 5254
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.
5620 112TH ST E, Puyallup, WA 98373
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Other Names 1

Doing Business AsPuyallup Family Dental

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 5

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

BRYCE WILSON, PLLC
Counselor (Mental Health)
5620 112TH ST E, STE. 215
PUYALLUP, WA 98373
Pierce County (253) 446-7176
CHEYENNE BAXTER
Counselor
5620 112TH ST E
SOUTH HILL, WA 98373
Pierce County (253) 446-7176
THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
5620 112TH ST E, SUITE 255
PUYALLUP, WA 98373
Pierce County (253) 256-4000
BRONSON MANDEVILLE
Counselor (Mental Health)
5620 112TH ST E
PUYALLUP, WA 98373
Pierce County (517) 974-3515
MR. BRYCE WILSON MA, LMHC, LMFT
Counselor (Mental Health)
5620 112TH ST E, STE. 215
PUYALLUP, WA 98373
Pierce County (253) 446-7176

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 Korsmo & Henry Ddd Ps's NPI number?

The NPI number for Korsmo & Henry Ddd Ps is 1891158317. It was assigned to this organization in the NPPES registry on April 1, 2016. The provider is doing business as Puyallup Family Dental.

Where is Korsmo & Henry Ddd Ps located?

Korsmo & Henry Ddd Ps is located at 5620 112th St E Suite 250, Puyallup, WA 98373. The listed phone number is (253) 770-0529.

What is Korsmo & Henry Ddd Ps's specialty?

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

When was this NPI record last updated?

The NPPES record for Korsmo & Henry Ddd Ps was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.