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

Marco Oktoviator Waworuntu

Individual provider Dentist · NPI 1235839259

Marco Oktoviator Waworuntu is a Dentist in Tacoma, Washington. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409-7120
Phone: (253) 881-8780
Show map & directions

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

Additional practice locations (2)

  • 11201 88th Ave E Ste 110, Puyallup, WA 98373-3802 — (253) 848-2988
  • 18710 Meridian E Ste 216, Puyallup, WA 98375-2231 — (253) 321-1198

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61565869 (WA)

Record details

NPI number1235839259
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Other providers in Tacoma