Individual
BRYAN FUERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6004 CAPITOL BLVD SE FL 1, TUMWATER, WA 98501-8520
(360) 522-9070
(360) 522-9077
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61439731
WA
1223G0001X
General Practice Dentistry
Primary
DE61439731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2249977
—
WA
Enumeration date
06/06/2023
Last updated
09/29/2025
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