DR. WALTER FOMBIN FOTO (BDS DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1215038716
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. WALTER FOMBIN FOTO (BDS DMD)
814 6th Ave
Tacoma, WA 984054501
Phone: (253) 272-7574
Fax: (253) 272-9044
Type: Location
4202 10TH ST SE STE 311
PUYALLUP, WA 983742191
Phone: (253) 272-7574
Fax: (253) 272-9044
Type: Mailing
101, 10th Street Southeast, Meeker, Puyallup, Pierce County, Washington, 98372, United States
PUYALLUP, WA 983742191
Phone: (253) 272-7574
Fax: (253) 272-9044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-26
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98405)
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