Edmonds Oral Surgery, P.S.

LBN: Edmonds Oral Surgery, P.S.
Edmonds Oral Surgery, P.S. is an health care organization with primary practice located at 21701 76Th Ave W #202, Edmonds WA 98026-7536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Edmonds Oral Surgery, P.S. can be contacted via phone (425) 744-1724, or through Heldridge, John E via phone (425) 744-1724.

Contact Information

Primary practice address
21701 76Th Ave W #202 Edmonds WA 98026-7536
Phone: (425) 744-1724
Fax: (425) 744-1726
Website:
Map and Directions
Authorized official contact:
Name: Heldridge, John E Doctor of Dental Surgery (DDS)
Phone: (425) 744-1724

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X Washington

Profile Details

NPI number 1811171275
LBN Legal business name Edmonds Oral Surgery, P.S.
DBA Doing business as
Authorized official Heldridge, John E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811171275 NPPES
Washington MEDICAID 5350608
Washington MEDICAID 5014691

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