Judy S Fu DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUDY S FU DMD PLLC

Practice address

1908 NW 1St Way Ste 105
Battle Ground, WA 98604-4560

Phone

(360) 666-8366

NPI assigned

Jan 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judy Fu, DMDNPI 1407005374

Title

Owner/Provider

Phone

(360) 666-8366

Specialties & licenses 1

Addresses

Other names 1

• Daybreak Dental Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy Fu, DMD

  • Dentist
  • Vancouver, WA
  • NPI 1407005374
  NPD Authorized official
• Judith Christine Ris, DMD

  • Dentist
  • Battle Ground, WA
  • NPI 1093727810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1043718208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W MAIN ST STE 117",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044320",
            "telephone_number": "360-666-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 NW 1ST WAY STE 105",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044560",
            "telephone_number": "360-666-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY S FU DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-666-8366",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daybreak Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Daybreak Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jesse Benton Jones, LMT
• Randall Elliott Jones, MASSAGE THERAPIST
• Tyliyah Jones
• Joy Afh LLC 1
• Jennifer Joy, LMP
• Kai Joseph Julkowski, RD, RDN
• Kaiser Foundation Health Plan of the Northwest
• Liliya Kapmar, RN
• Tricia Karvonen, RN
• Kalpana Prabuddhika Katudeniya, D.O.

• Dental Clinic/Center in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.