Spokane Ambulatory Surgery Center in Spokane Valley - Dental
Spokane Ambulatory Surgery Center - NPI 1396820767
Spokane Ambulatory Surgery Center is a Dental in Spokane Valley, Washington. Spokane Ambulatory Surgery Center practices all healthcare services and medical treatments related to Dental. The NPI Number for Spokane Ambulatory Surgery Center is 1396820767. The last update date is 2008-07-03.
Spokane Ambulatory Surgery Center's current location address is 12109 E Broadway Ave Ste C, Spokane Valley, Washington. You can contact this provider via phone number 5099267106 and fax number 5099287469. The mailing address for Spokane Ambulatory Surgery Center is 12109 E Broadway Ave Ste C, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Spokane Ambulatory Surgery Center |
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Address | 12109 E Broadway Ave Ste C, Spokane Valley, Washington |
Phone Number | 5099267106 |
Fax Number | 5099287469 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Paxton C Mark |
Credentials | DDS |
Telephone Number | 5099267106 |
NPI Number Detail
NPI Number | 1396820767 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
Address | 12109 E Broadway Ave Ste C |
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City | Spokane Valley |
State | Washington (WA) |
Post Code | 992066133 |
Phone Number | 5099267106 |
Fax Number | 5099287469 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Definition: Provides general and specialized dental care and oral surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7113640 | WA | -- |
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What is the unique 10-digit identifier code issued to Spokane Ambulatory Surgery Center by the Centers for Medicare & Medicaid Services?
The Spokane Ambulatory Surgery Center has been assigned the NPI (National Provider Identifier) 1396820767 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Spokane Ambulatory Surgery Center's physical address?
The Spokane Ambulatory Surgery Center is physically located at 12109 E Broadway Ave Ste C, in the city of Spokane Valley, WA, with the postal code 992066133.
What is the area of specialization for Spokane Ambulatory Surgery Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Spokane Ambulatory Surgery Center is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did Spokane Ambulatory Surgery Center receive its 1396820767 assignment from the Centers for Medicare & Medicaid Services?
The Spokane Ambulatory Surgery Center was assigned its 1396820767 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Spokane Ambulatory Surgery Center most recently updated or refreshed?
The details pertaining to the Spokane Ambulatory Surgery Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-03.