WASHINGTON JAW AND FACIAL SURGERY PLLC (NPI# 1023619657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023619657 |
| Entity Type | Organization |
| Organization Name | WASHINGTON JAW AND FACIAL SURGERY PLLC |
| Practice Address |
451 Duvall Ave Ne Ste 100 Renton WA 98059-4675 |
| Mailing Address |
33801 1st Way S Ste 311 Federal Way WA 98003-4548 |
| Practice Telephone | 4254536975 |
| Mailing Telephone | 4253019609 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | MIN LIU (OFFICE MANAGER) |
| Authorized Official Telephone | 2538383223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Washington Jaw and Facial Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
| 1518245323 | Washington Jaw and Facial Surgery Pllc | Dentist | 33801 1st Way S Ste 311, Federal Way, WA 98003-4548 | 2011-07-27 |
| Street Address |
451 DUVALL AVE NE STE 100 |
| City | RENTON |
| State | WA |
| Zip Code | 98059-4675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724358 | Vanessa Sequeira | Massage Therapist | 13293 Newcastle Commons Dr, Newcastle, WA 98059 | 2018-09-17 |
| 1417477720 | Karen Apple | Behavior Technician | 13804 Se 76th Pl, Newcastle, WA 98059 | 2017-06-27 |
| 1992234256 | Justin Studer | Massage Therapist | 950 Field Ave Ne, Renton, WA 98059 | 2017-06-08 |
| 1770983306 | Pooja Walia Bhardwaj | Dentist | 6935 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2014-09-02 |
| 1487799334 | Ai-lien Ngoc Sperry | Dentist | 4820 Ne 4th St, Suite A-108, Renton, WA 98059 | 2007-02-20 |
| 1225172711 | Vicki L Finesilver-quinn | Social Worker | 13741 148th Pl. Se, Renton, WA 98059 | 2007-02-16 |
| 1467511535 | Baljinder S Buttar | Dentist | 4501 Ne 4th St, Suite A, Renton, WA 98059 | 2006-12-06 |
| 1992892913 | Kevin Keith Kay | Dentist | 4444 Ne Sunset Blvd, Suite 3, Renton, WA 98059 | 2006-10-10 |
| 1194714790 | Dale E Epper Md | Family Medicine | 4444 Sunset Blvd, Dale E Epper Md Dba Highlands Family Practice, Renton, WA 98059 | 2005-10-17 |
| 1497219661 | Evelyn Faith Lafferty | Massage Therapist | 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2019-01-22 |
| Find all providers in zip 98059 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255803904 | Edwards, Johnson, Johnson & Johnson D.d.s., P.l.l.c. | Dentist | 601 S Carr Rd Ste 300, Renton, WA 98055-5840 | 2018-12-19 |
| 1073860854 | Michael C Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909145 | Calley Christie Dmd Pllc | Dentist | 275 Sw 160th St Ste 115, Burien, WA 98166-3003 | 2020-10-11 |
| 1679197016 | Tae Youn Dds Md Pllc | Dentist | 15808 Mill Creek Blvd Ste 202, Mill Creek, WA 98012-1500 | 2020-06-02 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1740744374 | Thompson Ferguson Schrack Pllc | Dentist | 7604 Ne 5th Ave Ste 114, Vancouver, WA 98665-8200 | 2019-01-28 |
| 1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
| 1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
| 1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1942710231 | Freuen Hauck Paxton Oms Pllc | Dentist | 9911 N Nevada St Ste 120, Spokane, WA 99218-1298 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.