Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Puyallup Park Dental

Organization General Practice Dentistry · NPI 1164919981

Puyallup Park Dental is a General Practice Dentistry in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

13909 Meridian E Ste A1
Puyallup, WA 98373-9180
Phone: (253) 435-0333
Fax: (253) 435-0362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE60048922 (WA)

Record details

NPI number1164919981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Byungjun Park — Owner · (253) 435-0333
NPI enumeratedApril 17, 2018
Last updated in NPPESApril 17, 2018
Mailing address13909 Meridian E Ste A1, Puyallup, WA 98373-9180

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