Individual provider · Type 1 NPI
Mevadee Pibulniyom
Prosthodontics · Tacoma, WA
NPI number
1013895598
Active
Practice location
5005 Main St Ste 107
Tacoma, WA 98407-3177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 61668744 (WA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1013895598
Mevadee Pibulniyom's National Provider Identifier is 1013895598, issued on Aug 23, 2025. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Tacoma, WA. The record was last updated on Aug 23, 2025.