Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235224940 Individual Practitioner Male Practitioner

Dr. John Michael Davis , DDS

Dentist - General Practice • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tacoma, WA. Practice services are available at 113 132ND ST S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 132nd St S

Tacoma, WA 984444807

Telephone 2535379317
Fax 2535371371
Associated Practice Facility / Clinic
🏢 Anand Pullat Dds Pllc Facility NPI 1063386944

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
146 Specialists

Practicing in Tacoma, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 9916

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 51333

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D5892

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Mike Kim , DDS

Dentist - General Practice

NPI 1184818973

Doctor of Dental Surgery

Dr. Mark Ngo , DMD

Dentist - General Practice

NPI 1952489247

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 29, 2023

Registered at 113 132ND ST S, TACOMA, WA 984444807 (Tel: 2535379317)

📍
Updated Business Mailing Address August 29, 2023

Registered at 113 132ND ST S, TACOMA, WA 984444807 (Tel: 5353793172)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Dentist (License #51333 in CA)

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2007

Registered at 14820 PACIFIC AVE S, TACOMA, WA 984444655 (Tel: 5599984262)

📍
Updated Business Mailing Address October 29, 2007

Registered at 6148 REGATTA PL NE, BREMERTON, WA 983118224

👤
Provider Name / Credentials Updated October 29, 2007

Recorded as JOHN DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Dentist (License #9916 in WA)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235224940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: August 29, 2023
Sole Proprietor: Yes

Mailing Address

113 132nd St S

Tacoma, WA 984444807

Phone: 5353793172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.