| Kitsap Oms | |
|
19503 7th Ave Ne Poulsbo WA 98370 | |
| (360) 779-2339 | |
| (360) 779-6475 |
| Full Name | Kitsap Oms |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 19503 7th Ave Ne, Poulsbo, Washington |
| Authorized Official Name and Position | Paul B Greenawait (PARTNER) |
| Authorized Official Contact | 3606989335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Oms Po Box 3770 Silverdale WA 98383 Ph: (360) 698-9335 | Kitsap Oms 19503 7th Ave Ne Poulsbo WA 98370 Ph: (360) 779-2339 |
| NPI Number | 1467655548 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 02/13/2017 |
| Medicare PECOS PAC ID | 1759279995 |
|---|---|
| Medicare Enrollment ID | O20040309000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467655548 | NPI | - | NPPES |
| 115138600 | Other | WA | MEDICARE ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8080 (Washington) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (Washington) | Primary |
| Provider Name | Sukhdeep S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144396763 PECOS PAC ID: 4486704566 Enrollment ID: I20090611000112 |
| Provider Name | Thomas J Curran |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841231198 PECOS PAC ID: 4183795057 Enrollment ID: I20100128000603 |
| Provider Name | Paul B Greenawalt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700948551 PECOS PAC ID: 9739250606 Enrollment ID: I20100825001071 |
| Provider Name | Hardeep Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1811163611 PECOS PAC ID: 5092945667 Enrollment ID: I20171208001602 |
| Provider Name | Douglas Gardner Baasch |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629496161 PECOS PAC ID: 0244537108 Enrollment ID: I20211216001266 |
Wesley L Hanson, Dds, Msd, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Ne Hostmark St, Suite 100a, Poulsbo, WA 98370 Phone: 360-779-4556 | |
Viking Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18520 State Highway 305 Ne, Poulsbo, WA 98370 Phone: 360-598-5510 Fax: 360-598-5515 | |
Scott Welling Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18825 Caldart Ave Ne Ste B, Poulsbo, WA 98370 Phone: 614-623-3889 | |
Peninsula Prosthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19365 7th Ave Ne Ste 114, Poulsbo, WA 98370 Phone: 360-779-7414 Fax: 360-779-7732 | |
Ng Russell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20307 Viking Ave Nw Ste 201, Poulsbo, WA 98370 Phone: 360-779-9770 | |
Kitsap Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne Ste 100, Poulsbo, WA 98370 Phone: 360-779-2420 Fax: 360-779-6219 | |
Fernwood Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19500 10th Ave Ne Ste 210, Poulsbo, WA 98370 Phone: 360-394-4337 |