OrganizationActive
Puyallup Pediatric Dentistry
NPI 1821956467 · Dental Clinic/Center · Puyallup, WA
Puyallup Pediatric Dentistry is a Dental Clinic/Center organization in Puyallup, WA (NPI 1821956467).
Provider details
- NPI number
- 1821956467
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stuart Hersey, Manager / Owner(253) 864-9889
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
11201 88th Ave E Ste 120
Puyallup, WA 98373-3802
Phone: (253) 864-9889
Fax: (253) 841-6331
Street-level locationGet directions
Mailing address
11201 88th Ave E Ste 120
Puyallup, WA 98373-3802
Registry dates
- Enumerated
- 2026-01-13
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Frequently asked questions
- What is Puyallup Pediatric Dentistry's NPI number?
- Puyallup Pediatric Dentistry's National Provider Identifier (NPI) is 1821956467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Puyallup Pediatric Dentistry?
- Puyallup Pediatric Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Puyallup Pediatric Dentistry located?
- Puyallup Pediatric Dentistry's practice location on file with NPPES is 11201 88th Ave E Ste 120, Puyallup, WA 98373-3802.
- What is Puyallup Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Puyallup Pediatric Dentistry is (253) 864-9889.
- Who is the authorized official for Puyallup Pediatric Dentistry?
- The authorized official listed on Puyallup Pediatric Dentistry's NPPES record is Stuart Hersey, Manager / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Puyallup Pediatric Dentistry's NPI active?
- Yes — Puyallup Pediatric Dentistry's NPI (1821956467) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.