DR. DEBORAH L KIZZIAR (NPI# 1417953100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417953100 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH L KIZZIAR |
| Credential | D.D.S., M.D. |
| Practice Address |
123 W Francis Ave Spokane WA 99205-6348 |
| Mailing Address |
Oral Surgery Plus 123 W Francis Spokane WA 99205 |
| Practice Telephone | 5099288800 |
| Practice Fax Number | 5093210154 |
| Mailing Telephone | 5099288800 |
| Mailing Fax Number | 5093210154 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8428 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5032628 | 05 |
| Street Address |
123 W FRANCIS AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862293 | Cary B Simonds | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2005-06-27 |
| 1881015220 | Osp Spokane Pllc | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2014-01-03 |
| 1427375682 | Spokane Foot Clinic | Podiatrist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2010-04-28 |
| 1356574321 | Katie Marie Swanstrom | Podiatrist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2009-08-25 |
| 1326290560 | Briettney A Lybbert | Massage Therapist | 123 W Francis Ave, 103, Spokane, WA 99205-6348 | 2008-10-21 |
| 1861679797 | Local Anesthesia Incorporated | Nurse Anesthetist, Certified Registered | 123 W Francis Ave, Spokane, WA 99205-6364 | 2008-01-22 |
| 1912104654 | Spencer N Sautter | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2007-06-27 |
| 1942410436 | Oral Surgery Plus P.s. | Dentist | 123 W Francis Ave, Suite 101, Spokane, WA 99205-6348 | 2007-05-23 |
| 1417163460 | Scott Daniel Davis | Dentist | 123 W Francis Ave, Suite 103, Spokane, WA 99205-6348 | 2007-05-15 |
| 1982745568 | Northwest Surgery Center, Inc | Clinic/Center | 123 W Francis Ave, Spokane, WA 99205-6348 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| 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 |
|---|---|---|---|---|
| 1942710231 | Freuen Hauck Paxton Oms Pllc | Dentist | 9911 N Nevada St Ste 120, Spokane, WA 99218-1298 | 2017-10-02 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1790959377 | Nicholas Downey Freuen | Dentist | 101 W Cascade Way Ste 103, Spokane, WA 99208-6000 | 2008-04-15 |
| 1497721732 | Patrick C. Collins | Dentist | 322 W 7th Ave, Spokane, WA 99204-2504 | 2006-02-27 |
| 1730179334 | Cascade Oral & Maxillofacial Surgery | Dentist | 101 W Cascade Way, Suite 103, Spokane, WA 99208-6003 | 2005-10-25 |
| 1508862293 | Cary B Simonds | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2005-06-27 |
| 1609870070 | W Dale Crum | Dentist | 2204 E 29th Ave, Ste 104, Spokane, WA 99203-3961 | 2005-06-13 |
| 1881015220 | Osp Spokane Pllc | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2014-01-03 |
| 1982965976 | Inland Oral Surgery P.s. | Dentist | 2204 E 29th Ave, Suite 104, Spokane, WA 99203-3961 | 2012-06-06 |
| 1093977506 | David G. Gailey | Dentist | 2204 E 29th Ave, Suite #104, Spokane, WA 99203-3961 | 2008-06-26 |
| Find all providers in SPOKANE | ||||
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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.