Ballard Oral And Maxillofacial Surgery

LBN: John K Tidwell Dds Ps
Ballard Oral And Maxillofacial Surgery is an health care organization with primary practice located at 1801 Nw Market St Suite 108, Seattle WA 98107-3987. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. John K Tidwell Dds Ps can be contacted via phone (206) 783-9672, or through Barnes, Elizabeth via phone (206) 783-9672.

Contact Information

Primary practice address
1801 Nw Market St Suite 108 Seattle WA 98107-3987
Phone: (206) 783-9672
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barnes, Elizabeth
Phone: (206) 783-9672

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE00006884 Washington

Profile Details

NPI number 1245668631
LBN Legal business name John K Tidwell Dds Ps
DBA Doing business as Ballard Oral And Maxillofacial Surgery
Authorized official Barnes, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2013
Last updated Oct 22nd, 2013 - about 11 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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