IndividualActive
Peter Vanderven, PLLC
NPI 1750334199 · Oral and Maxillofacial Pathology Dentistry · Federal Way, WA
Provider details
- NPI number
- 1750334199
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- PLLC
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE00006346 (WA)
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
34709 9th Ave S
Suite B-300
Federal Way, WA 98003-8722
Phone: (253) 874-2583
Fax: (253) 874-8957
Street-level locationGet directions
Mailing address
34709 9th Ave S
Federal Way, WA 98003-8722
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2013-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.