| 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 |
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