IndividualActive
Mark Sundberg, DDS, ABGD, MAGD
NPI 1366412058 · Orthodontics and Dentofacial Orthopedics Dentistry · Tacoma, WA
Provider details
- NPI number
- 1366412058
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, ABGD, MAGD
- Sex
- Male
- Sole proprietor
- No
- License
- 06999 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Bldg 9900, 2nd Floor
U.S. Army Dental Activity - Ft Lewis
Tacoma, WA 98431-0001
Phone: (253) 968-4039
Fax: (253) 968-5919
Approximate (ZIP-level) locationGet directions
Mailing address
Bldg 9900, 2nd Floor
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2011-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.