NPI 1023253424

Kim D Nordberg DDS, Ps

Organisation General Practice Dentistry Puyallup, WA

Practice location

Address: 11023 Canyon Rd E, Puyallup, WA 98373-4264
Phone: (253) 535-6666
Fax: (253) 535-5432

Authorised official

Name: Peder Nordberg
Title: Owner/Dentist
Phone: (253) 535-6666

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5301 (WA)

Other Dentist providers in Washington →

Registry record

NPI: 1023253424
Entity type: Organization
NPI issued: 14 Dec 2008
Record last updated: 6 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.