KORSMO & HENRY DDS PS (NPI# 1982154233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982154233 |
| Entity Type | Organization |
| Organization Name | KORSMO & HENRY DDS PS |
| Other Organization Name | PUYALLUP FAMILY DENTAL |
| Practice Address |
5620 112th St E Ste 250 Puyallup WA 98373-3218 |
| Practice Telephone | 2537700529 |
| Practice Fax Number | 2537709638 |
| Mailing Telephone | 2537700529 |
| Mailing Fax Number | 2537709638 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | DARILYN HENRY (GENERAL MANAGER) |
| Authorized Official Telephone | 2537700529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00011049 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Puyallup Family Dental | Doing Business As Name - Organization |
| Street Address |
5620 112TH ST E STE 250 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1871942169 | Dr. Nikolina Nielsen | Dentist | 3850 S Meridian Ste 5, Puyallup, WA 98373-3701 | 2016-06-07 |
| 1174914162 | Nazish Haq | Dentist | 11012 Canyon Rd E Ste 40, Puyallup, WA 98373-4200 | 2015-02-11 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1548607344 | Jordan James Zingerman | Dentist | 2921 5th Ave Ne Ste 110, Puyallup, WA 98372-7044 | 2013-06-03 |
| 1366796906 | Cohen, Manavi & Pakravan Inc | Dentist | 15815 Meridian E, Puyallup, WA 98375-6507 | 2012-11-05 |
| 1992059737 | Puyallup Dental, LLC | Dentist | 16420 Meridian E, Puyallup, WA 98375-2514 | 2012-11-01 |
| 1114273422 | Daniel Gilbert Schruth | Dentist | 1002 N Meridian Ste A104, Puyallup, WA 98371-4409 | 2012-07-24 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in PUYALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.