Sound Oral & Maxillofacial Surgery | |
1628 S Mildred St Suite 210 Tacoma WA 98465-1627 | |
(253) 564-1000 | |
(253) 564-0102 |
Full Name | Sound Oral & Maxillofacial Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1628 S Mildred St, Tacoma, Washington |
Authorized Official Name and Position | Robert Todd Erickson (OFFICER) |
Authorized Official Contact | 2535641000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sound Oral & Maxillofacial Surgery 1628 S. Mildred St. Suite 210 Tacoma WA 98465 Ph: (253) 564-1000 | Sound Oral & Maxillofacial Surgery 1628 S Mildred St Suite 210 Tacoma WA 98465-1627 Ph: (253) 564-1000 |
NPI Number | 1396815221 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396815221 | NPI | - | NPPES |
01614677 | Other | WA | UNITED CONCORDIA |
ER2477 | Other | WA | REGENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE6354 (Washington) | Primary |
Olympic Dental & Denture Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 6th Ave, Suite A, Tacoma, WA 98406 Phone: 253-752-1320 Fax: 253-752-1425 | |
Bansuk Ju Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 S Union Ave Ste A6, Tacoma, WA 98405 Phone: 253-752-4422 | |