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

Dr. Gary Blyleven, DMD

Individual provider Periodontics · NPI 1942618251

Dr. Gary Blyleven, DMD is a Periodontics in Tacoma, Washington. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

9900 Lincoln Street 2nd Fl
Tacoma, WA 98431-0001
Phone: (253) 967-5271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D-4574 (ID)

Record details

NPI number1942618251
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 30, 2014
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address9900 Lincoln Street 2nd Floor, Tacoma, WA 98431-0001

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