Muruudul Otgonbold, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61653220 Issued in WA

Practice address

6504 Wollochet Dr
Gig Harbor, WA 98335-8319

Phone

(253) 858-5869

NPI assigned

Jul 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Otgonbold DDS PLLC

  dba Dream Harbor Dentistry

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1013830264
  NPD (past) Authorized official
• Doctor Teeth DMD LLC

  • General Practice Dentistry
  • Grants Pass, OR
  • NPI 1205426186
  NPD
• Debra M. Enneking DDS, Inc.

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1164843694
  NPD (past)

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1124706577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 WOLLOCHET DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358319",
            "telephone_number": "720-383-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 WOLLOCHET DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358319",
            "telephone_number": "253-858-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTGONBOLD",
        "first_name": "MURUUDUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11846",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61653220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Orchanian
• Leticia Ordonez
• Matthew Osborn, LMP
• Angela Osborne, MA LMFTA
• Otgonbold DDS PLLC (Dream Harbor Dentistry)
• Jamie Allen Ott, MD
• Outsource 99, LLC
• Tyler Steven Owens, M.D.
• Sydney Pabian, ND
• Diana Padavich

• General Practice Dentistry in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.