South Sound Oral Surgery Pllc in Olympia - Oral And Maxillofacial Surgery

South Sound Oral Surgery Pllc - NPI 1407944614

South Sound Oral Surgery Pllc is a Oral And Maxillofacial Surgery in Olympia, Washington. South Sound Oral Surgery Pllc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for South Sound Oral Surgery Pllc is 1407944614. The last update date is 2020-08-22.

South Sound Oral Surgery Pllc's current location address is 3425 Ensign Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604565678 and fax number 3604561238. The mailing address for South Sound Oral Surgery Pllc is 3425 Ensign Rd Ne, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Sound Oral Surgery Pllc
Address 3425 Ensign Rd Ne, Olympia, Washington
Phone Number 3604565678
Fax Number 3604561238
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Caswell Jean Laura
Telephone Number 3607360715

NPI Number Detail

NPI Number 1407944614
Provider Enumeration Date 2006-10-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3425 Ensign Rd Ne
City Olympia
State Washington (WA)
Post Code 98506
Phone Number 3604565678
Fax Number 3604561238

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about South Sound Oral Surgery Pllc

What is the unique 10-digit identification code assigned to South Sound Oral Surgery Pllc by the Centers for Medicare & Medicaid Services?

The South Sound Oral Surgery Pllc has been issued the NPI (National Provider Identifier) 1407944614, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of South Sound Oral Surgery Pllc?

The South Sound Oral Surgery Pllc is physically situated at 3425 Ensign Rd Ne, in the city of Olympia, state of WA, with the postal code 98506.

What is South Sound Oral Surgery Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for South Sound Oral Surgery Pllc is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the South Sound Oral Surgery Pllc receive its 1407944614 assignment from the Centers for Medicare & Medicaid Services?

The South Sound Oral Surgery Pllc was assigned its 1407944614 by the Centers for Medicare & Medicaid Services on 2006-10-11.

As of what date was the information pertaining to South Sound Oral Surgery Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to South Sound Oral Surgery Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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