Spokane Oral & Maxillofacial Surgery

LBN: Spokane Oms
Spokane Oral & Maxillofacial Surgery is an health care organization with primary practice located at 12109 E Broadway Avenue Suite C , Spokane Valley WA 99206-6133. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Spokane Oms can be contacted via phone (509) 926-7106, or through Telin, Marla A via phone (509) 926-7106.

Contact Information

Primary practice address
12109 E Broadway Avenue Suite C Spokane Valley WA 99206-6133
Phone: (509) 926-7106
Fax: (509) 926-2833
Website:
Map and Directions
Authorized official contact:
Name: Telin, Marla A
Phone: (509) 926-7106

Health care specialties

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

Profile Details

NPI number 1497789820
LBN Legal business name Spokane Oms
DBA Doing business as Spokane Oral & Maxillofacial Surgery
Authorized official Telin, Marla A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 21st, 2022 - about 2 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 1497789820 NPPES
Washington MEDICAID 5036579

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