LEWIS CLARK ORAL SURGERY (NPI# 1588992721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588992721 |
| Entity Type | Organization |
| Organization Name | LEWIS CLARK ORAL SURGERY |
| Practice Address |
1119 Highland Ave Number 6 Clarkston WA 99403-2836 |
| Practice Telephone | 5097511110 |
| Mailing Telephone | 5097511110 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | DR. JOHN WALLACE MORRISON (OWNER) |
| Authorized Official Telephone | 5097511110 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE 00011204 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | NPI - PERSONAL | 1164567913 | 01 |
| Street Address |
1119 HIGHLAND AVE NUMBER 6 |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369227 | Yellow Rock Clinic Pllc | Family Medicine | 1119 Highland Ave, Suite 3, Clarkston, WA 99403-2836 | 2006-03-10 |
| 1447782933 | Nolan Derr | Internal Medicine | 1119 Highland Ave, Clarkston, WA 99403-2836 | 2017-04-03 |
| 1861740300 | Carson Douglas Seeber | Family Medicine | 1119 Highland Ave, Suite A, Clarkston, WA 99403-2836 | 2012-08-15 |
| 1376866590 | Donald Anthony Norman | Obstetrics & Gynecology | 1119 Highland Ave, Suite 6, Clarkston, WA 99403-2836 | 2010-03-02 |
| 1740479914 | Lewiston-clarkston Oral & Max. Surg. PC | Dentist | 1119 Highland Ave, Suite 6, Clarkston, WA 99403-2836 | 2007-10-23 |
| 1073697512 | Tri-state S.p.o.r.t. Physical Therapy Clinic | Clinic/Center | 1119 Highland Ave, Ste 2, Clarkston, WA 99403-2836 | 2006-10-24 |
| 1285645630 | Jose Y Garcia Jr. | Internal Medicine | 1119 Highland Ave, Suite 5, Clarkston, WA 99403-2836 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292250 | Tiffany Danyal Clarkston Pllc | Clinic/Center | 55 S Main St, Clarkston, MI 48346-1527 | 2020-07-21 |
| 1568852382 | Clarkston Pediatric Dentistry Plc | Clinic/Center | 6401 Citation Dr, Suite A, Clarkston, MI 48346-2992 | 2015-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| 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.