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

Puyallup Pediatric Dentistry

Organization Dental Clinic/Center · NPI 1821956467

Puyallup Pediatric Dentistry is a Dental Clinic/Center in Puyallup, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

11201 88th Ave E Ste 120
Puyallup, WA 98373-3802
Phone: (253) 864-9889
Fax: (253) 841-6331
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1821956467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stuart Hersey — Manager / Owner · (253) 864-9889
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address11201 88th Ave E Ste 120, Puyallup, WA 98373-3802

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