| Columbia Basin Oral & Maxillofacial Surgeons | |
|
512 N Young St Kennewick WA 99336-7806 | |
| (509) 783-7600 | |
| (509) 783-0774 |
| Full Name | Columbia Basin Oral & Maxillofacial Surgeons |
|---|---|
| Speciality | Dentist |
| Location | 512 N Young St, Kennewick, Washington |
| Authorized Official Name and Position | Todd C Cooper (PARTNER) |
| Authorized Official Contact | 5097837600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Basin Oral & Maxillofacial Surgeons 512 N Young St Kennewick WA 99336-7806 Ph: (509) 783-7600 | Columbia Basin Oral & Maxillofacial Surgeons 512 N Young St Kennewick WA 99336-7806 Ph: (509) 783-7600 |
| NPI Number | 1487728614 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/21/2017 |
| Medicare PECOS PAC ID | 9739076431 |
|---|---|
| Medicare Enrollment ID | O20040227000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487728614 | NPI | - | NPPES |
| 5042361 | Medicaid | WA | |
| 5017660 | Medicaid | WA | |
| 5017652 | Medicaid | WA | |
| 5014337 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6293 (Washington) | Primary |
| Provider Name | Ronald J Marsh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1134147309 PECOS PAC ID: 0244229821 Enrollment ID: I20060119000767 |
Ideal Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 N Louisiana St Ste 101, Kennewick, WA 99336 Phone: 509-737-8700 | |
Clearwater Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Clearwater Ave, Kennewick, WA 99336 Phone: 509-783-5000 | |
Avenue Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7521 W Deschutes Ave, Kennewick, WA 99336 Phone: 509-735-9999 Fax: 509-735-9998 | |
Tri-cities Community Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 W Clearwater Ave, Suite A, Kennewick, WA 99336 Phone: 509-547-2204 | |
Dentistry For Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2611 S Quillan Pl Ste 110, Kennewick, WA 99338 Phone: 509-865-6175 | |
Dr Mileski Dds Iii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6607 W Canal Dr Ste B, Kennewick, WA 99336 Phone: 509-783-7070 | |
Columbia Basin Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 W Deschutes Pl, Kennewick, WA 99336 Phone: 509-865-6175 |