IndividualActive
Jenny Fang
NPI 1235701053 · Dentist · Puyallup, WA
Provider details
- NPI number
- 1235701053
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DE61178265 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
803 39th Ave Sw Ste F
Puyallup, WA 98373-3692
Phone: (253) 445-1500
Street-level locationGet directions
Mailing address
26205 116th Ave Se Apt A302
Kent, WA 98030-8445
Additional practice locations (1)
- 26555 Maple Valley Black Diamond Rd Se Ste L100Maple Valley, WA 98038-8478Phone: (425) 906-9119
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2022-12-07
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.