NPI 1013895598

Mevadee Pibulniyom

Practitioner Prosthodontics Tacoma, WA

Practice location

Address: 5005 Main St STE 107, Tacoma, WA 98407-3177
Phone: (253) 262-0024

Registered specialties

Prosthodontics Primary

Dental Providers Taxonomy 1223P0700X Licence 61668744 (WA)

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Registry record

NPI: 1013895598
Entity type: Individual
Sex (as registered): X
NPI issued: 23 Aug 2025
Record last updated: 23 Aug 2025

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.