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

Mevadee Pibulniyom

Individual provider Prosthodontics · NPI 1013895598

Mevadee Pibulniyom is a Prosthodontics in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

5005 Main St Ste 107
Tacoma, WA 98407-3177
Phone: (253) 262-0024
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 61668744 (WA)

Record details

NPI number1013895598
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedAugust 23, 2025
Last updated in NPPESAugust 23, 2025
Certification dateAugust 23, 2025
Mailing address5005 Main St Ste 107, Tacoma, WA 98407-3177

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