NPI 1043147416

Andrea M Fonner, DDS

Organisation Dental Anesthesiology Puyallup, WA

Practice location

Address: 1420 3rd St SE, Puyallup, WA 98372-3730
Phone: (206) 579-5163
Mailing address: 6947 Coal Creek Pkwy SE # 707, Newcastle, WA 98059-3136

Authorised official

Name: Andrea Fonner
Title: Owner
Phone: (206) 579-5163

Registered specialties

Dental Anesthesiology Primary

Dental Providers Taxonomy 1223D0004X

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Registry record

NPI: 1043147416
Entity type: Organization
NPI issued: 7 May 2026
Record last updated: 7 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.