| Spokane Oral & Maxillofacial Surgery | |
|
12109 E Broadway Avenue Suite C Spokane Valley WA 99206-6133 | |
| (509) 926-7106 | |
| (509) 926-2833 |
| Full Name | Spokane Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12109 E Broadway Avenue Suite C, Spokane Valley, Washington |
| Authorized Official Name and Position | Marla A Telin (COO) |
| Authorized Official Contact | 5099267106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Oral & Maxillofacial Surgery 12109 E Broadway Ave Ste C Spokane Valley WA 99206-6133 Ph: (509) 926-7106 | Spokane Oral & Maxillofacial Surgery 12109 E Broadway Avenue Suite C Spokane Valley WA 99206-6133 Ph: (509) 926-7106 |
| NPI Number | 1497789820 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497789820 | NPI | - | NPPES |
| 5036579 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Washington) | Primary |
Spokane Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12109 E Broadway Ave, Bldg C, Spokane Valley, WA 99206 Phone: 509-893-3635 Fax: 509-926-2833 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15810 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-795-3800 Fax: 509-924-3072 | |
Apex Anesthesia Services Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Mullan Rd Ste 1, Spokane Valley, WA 99206 Phone: 509-764-5399 Fax: 509-765-4757 | |
Brent M Williams Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 N Evergreen Rd, Suite 400 Building B, Spokane Valley, WA 99216 Phone: 509-922-1360 Fax: 509-922-1260 | |
Damom & Magnuson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12406 E Mission Ave, Spokane Valley, WA 99216 Phone: 506-924-9860 Fax: 509-926-0818 | |
Dr. C Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13514 E 32nd Ave, Spokane Valley, WA 99216 Phone: 509-228-3834 Fax: 509-388-0195 | |
Spokane Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Mullan Rd Ste 103, Spokane Valley, WA 99206 Phone: 509-928-8431 Fax: 509-928-3522 |