| Tacoma Oral Surgery & Implants | |
|
1550 S Union Ave Ste 250 Tacoma WA 98405-1946 | |
| (253) 572-4601 | |
| (253) 572-4769 |
| Full Name | Tacoma Oral Surgery & Implants |
|---|---|
| Speciality | Dentist |
| Location | 1550 S Union Ave Ste 250, Tacoma, Washington |
| Authorized Official Name and Position | Peter David Gauger (OWNER) |
| Authorized Official Contact | 2535724601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tacoma Oral Surgery & Implants 1550 S Union Ave Ste 250 Tacoma WA 98405-1946 Ph: (253) 572-4601 | Tacoma Oral Surgery & Implants 1550 S Union Ave Ste 250 Tacoma WA 98405-1946 Ph: (253) 572-4601 |
| NPI Number | 1225437619 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 4183990237 |
|---|---|
| Medicare Enrollment ID | O20171018000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225437619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE 60216311 (Washington) | Primary |
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