PUYALLUP DENTAL, LLC (NPI# 1992059737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992059737 |
| Entity Type | Organization |
| Organization Name | PUYALLUP DENTAL, LLC |
| Practice Address |
16420 Meridian E Puyallup WA 98375-2514 |
| Practice Telephone | 2534759120 |
| Practice Fax Number | 2534759284 |
| Mailing Telephone | 2534759120 |
| Mailing Fax Number | 2534759284 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | DR. TRAVIS JOHN PROBST (DENTIST) |
| Authorized Official Telephone | 2534759120 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE 60198294 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUYALLUP DENTAL, LLC | 16420 Meridian E, Suite 104, Puyallup, WA 98375-2514 |
| Street Address |
16420 MERIDIAN E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114331980 | Brandon Guariglia | Dentist | 16420 Meridian E, Suite 104, Puyallup, WA 98375-2514 | 2014-06-19 |
| 1093156838 | Christopher Talmage Blacker | Dentist | 16420 Meridian E, #104, Puyallup, WA 98375-2514 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1982154233 | Korsmo & Henry Dds Ps | Dentist | 5620 112th St E Ste 250, Puyallup, WA 98373-3218 | 2016-10-11 |
| 1871942169 | Dr. Nikolina Nielsen | Dentist | 3850 S Meridian Ste 5, Puyallup, WA 98373-3701 | 2016-06-07 |
| 1174914162 | Nazish Haq | Dentist | 11012 Canyon Rd E Ste 40, Puyallup, WA 98373-4200 | 2015-02-11 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1548607344 | Jordan James Zingerman | Dentist | 2921 5th Ave Ne Ste 110, Puyallup, WA 98372-7044 | 2013-06-03 |
| 1366796906 | Cohen, Manavi & Pakravan Inc | Dentist | 15815 Meridian E, Puyallup, WA 98375-6507 | 2012-11-05 |
| 1114273422 | Daniel Gilbert Schruth | Dentist | 1002 N Meridian Ste A104, Puyallup, WA 98371-4409 | 2012-07-24 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in PUYALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.