Salmon Creek Oral & Maxillofacial Surgery,Llc
LBN: Salmon Creek Oral & Maxillofacial Surgery,Llc
Salmon Creek Oral & Maxillofacial Surgery,Llc is an health care organization with primary practice located at 14411 Ne 20Th Ave Suite 111, Vancouver WA 98686-6431. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Salmon Creek Oral & Maxillofacial Surgery,Llc can be contacted via phone (360) 695-2400, or through Wong, Craig W via phone (360) 695-2400.
Contact Information
Primary practice address
14411 Ne 20Th Ave Suite 111
Vancouver WA 98686-6431
Phone: (360) 695-2400
Fax: (360) 906-1116
Website:
Authorized official contact:
Name: Wong, Craig W Doctor of Dental Medicine (DMD)
Phone: (360) 695-2400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | WA5774 | Washington |
Profile Details
| NPI number | 1083849913 |
|---|---|
| LBN Legal business name | Salmon Creek Oral & Maxillofacial Surgery,Llc |
| DBA Doing business as | |
| Authorized official | Wong, Craig W Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2009 |
| Last updated | Nov 19th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083849913 | NPPES |
| Washington | MEDICAID | 5049937 |
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