Organization Active NPI

Dong W Han DMD PLLC

  • Dental Clinic/Center
  • Puyallup, WA
National Provider Identifier
1265327969
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DONG W HAN DMD PLLC
Practice address
803 39TH Ave SW Ste Ab
Puyallup, WA 98373-3692
Phone
(253) 220-4109
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Dongwu Han, DMDNPI 1962884247
Title
Owner/Dentist
Phone
(425) 785-6191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

803 39TH Ave SW Ste Ab
Puyallup, WA 98373-3692

Mailing address

11201 88TH Ave E Ste 110
Puyallup, WA 98373-3802

Other names 1

  • Sunrise Dental of Puyallup Doing business as

National Provider Directory

National Provider Directory

Locations

803 39th Ave SW
Ste Ab
Puyallup, WA 98373
Phone (253) 220-4109

11201 88th Ave E
Ste 110
Puyallup, WA 98373
Phone (253) 445-0022

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": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1265327969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E STE 110",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 39TH AVE SW STE AB",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733692",
            "telephone_number": "253-220-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG W HAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "DONGWU",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-785-6191",
        "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": "Sunrise Dental of Puyallup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.