IndividualActive
Marco Waworuntu
NPI 1235839259 · Dentist · Tacoma, WA
Marco Waworuntu is a Dentist provider in Tacoma, WA (NPI 1235839259).
Provider details
- NPI number
- 1235839259
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 61565869 (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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409-7120
Phone: (253) 881-8780
Street-level locationGet directions
Mailing address
5003 Tacoma Mall Blvd
Tacoma, WA 98409-7120
Additional practice locations (2)
- 18710 Meridian E Ste 216Puyallup, WA 98375-2231Phone: (253) 321-1198
- 11201 88th Ave E Ste 110Puyallup, WA 98373-3802Phone: (253) 848-2988
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Frequently asked questions
- What is Marco Waworuntu's NPI number?
- Marco Waworuntu's National Provider Identifier (NPI) is 1235839259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marco Waworuntu's specialty?
- Marco Waworuntu is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Marco Waworuntu located?
- Marco Waworuntu's practice location on file with NPPES is 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409-7120.
- What is Marco Waworuntu's phone number?
- The practice phone number listed in the NPPES registry for Marco Waworuntu is (253) 881-8780.
- Is Marco Waworuntu's NPI active?
- Yes — Marco Waworuntu's NPI (1235839259) is active in the NPPES registry as of the last update on 2024-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.