OrganizationActive
Puyallup Park Dental
NPI 1164919981 · General Practice Dentistry · Puyallup, WA
Provider details
- NPI number
- 1164919981
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Byungjun Park, Owner(253) 435-0333
- License
- DE60048922 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13909 Meridian E Ste A1
Puyallup, WA 98373-9180
Phone: (253) 435-0333
Fax: (253) 435-0362
Street-level locationGet directions
Mailing address
13909 Meridian E Ste A1
Puyallup, WA 98373-9180
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2018-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.