Washingtonoralmaxillofacialsurgery

LBN: Washingtonoralmaxillofacialsurgery
Washingtonoralmaxillofacialsurgery is an health care organization with primary practice located at 5929 Evergreen Way 300, Everett WA 98203-6031. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Washingtonoralmaxillofacialsurgery can be contacted via phone (425) 356-3000, or through Hong, Jae Y via phone (425) 356-3000.

Contact Information

Primary practice address
5929 Evergreen Way 300 Everett WA 98203-6031
Phone: (425) 356-3000
Fax: (452) 535-6316
Website:
Map and Directions
Authorized official contact:
Name: Hong, Jae Y Doctor of Dental Surgery (DDS)
Phone: (425) 356-3000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE8227 Washington

Profile Details

NPI number 1184944001
LBN Legal business name Washingtonoralmaxillofacialsurgery
DBA Doing business as
Authorized official Hong, Jae Y Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2010
Last updated Jun 2nd, 2010 - about 14 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 1184944001 NPPES
Washington MEDICAID 5044888

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