Organization Active NPI

B S Ju DDS PLLC

Doing business as Union Avenue Dental Center

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1174427769
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
B S JU DDS PLLC
Doing business as
Union Avenue Dental Center
Practice address
2302 S Union Ave Ste A2
Tacoma, WA 98405-1332
Phone
(253) 752-5933
Fax
(253) 752-6535
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Bansuk Ju, DDS
Title
Owner
Phone
(253) 752-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2302 S Union Ave Ste A2
Tacoma, WA 98405-1332

Mailing address

2302 S Union Ave Ste A2
Tacoma, WA 98405-1332
Phone (253) 752-5933

Other names 1

  • Union Avenue Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1174427769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE A2",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051332",
            "telephone_number": "253-752-5933",
            "fax_number": "253-752-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE A2",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051332",
            "telephone_number": "253-752-5933",
            "fax_number": "253-752-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B S JU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "BANSUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-752-5933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Avenue Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.