Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEVADEE PIBULNIYOM
Active Sole ProprietorMEVADEE PIBULNIYOM is a Pediatric Dentistry healthcare provider located in TACOMA, Washington. NPI 1013895598 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · TACOMA, WA
Registration Details
- NPI Number
- 1013895598
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Aug 23, 2025 (0.98592532428095 yrs)
- Last Updated
- Aug 23, 2025
- License
-
61668744 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5005 MAIN ST STE 107TACOMA, WA, 984073177Browse WA providers · Browse ZIP 98407
- Phone
- 2532620024
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE ANDREW GONZALEZ | D.M.D. | 1114906484 |
| DR. AJEY VARMA | DDS | 1972546646 |
| DR. JOHN CONSTANTINE KOIS | DMD, MSD | 1710083324 |
| NEAL A ANDREN | DDS | 1649332396 |
| DR. KEITH MARTIN PHILLIPS | D.M.D., M.S.D. | 1063638310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.