Organization Active NPI

Raymond L Frye II DMD & Mary Correll DDS PLLC

  • General Practice Dentistry
  • Gig Harbor, WA
National Provider Identifier
1073451480
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAYMOND L FRYE II DMD & MARY CORRELL DDS PLLC
Practice address
3220 Uddenberg LN Ste 6
Gig Harbor, WA 98335-5128
Phone
(253) 585-2560
Fax
(253) 853-6392
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Brian Daltoso
Title
Cfo/Co-Owner
Phone
(509) 288-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3220 Uddenberg LN Ste 6
Gig Harbor, WA 98335-5128

Mailing address

3220 Uddenberg LN Ste 6
Gig Harbor, WA 98335-5128
Phone (253) 585-2560

National Provider Directory

National Provider Directory

Locations

3220 Uddenberg Ln
Ste 6
Gig Harbor, WA 98335
Phone (253) 585-2560

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1073451480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 UDDENBERG LN STE 6",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355128",
            "telephone_number": "253-585-2560",
            "fax_number": "253-853-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 UDDENBERG LN STE 6",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355128",
            "telephone_number": "253-585-2560",
            "fax_number": "253-853-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND L FRYE II DMD & MARY CORRELL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "DALTOSO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO/CO-OWNER",
        "authorized_official_telephone_number": "509-288-1443"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.