PACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGERY


Address: 2345 Sw 320th St, Federal Way, WA 98023-2568
Phone: 2538382123

PACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGERY (NPI# 1689080467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689080467
Entity Type Organization
Organization Name PACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGERY
Practice Address 2345 Sw 320th St
Federal Way
WA 98023-2568
Practice Telephone 2538382123
Practice Fax Number 2538743624
Mailing Telephone 2538382123
Mailing Fax Number 2538743624
Enumeration Date 2014-07-01
Last Update Date 2014-07-01
Authorized Official Name DR. CARL KENNETH JOHNSON (OWNER)
Authorized Official Telephone 4252771844
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
DE00006475 WA Ambulatory Health Care Facilities

Office Location

Street Address 2345 SW 320TH ST
City FEDERAL WAY
State WA
Zip Code 98023-2568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225164791 Donald Courtney Ausink Dentist 2345 Sw 320th St, Federal Way, WA 98023-2568 2007-02-26
1457871584 Tapps Medical Group Corporation Durable Medical Equipment & Medical Supplies 2345 Sw 320th St, Federal Way, WA 98023-2568 2017-06-20
1598974339 Darrell Rick Edwards Dentist 2345 Sw 320th St, Federal Way, WA 98023-2568 2007-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366093908 Marlene Dawson Technician 33228 37th Place S.w., Federal Way, WA 98023 2019-09-25
1861994956 Allen Abelgas Schimke Registered Nurse 1300 Sw Campus Drive Unit 38-4, Federal Way, WA 98023 2018-03-05
1568981298 Hau Thi-le Vu Dental Hygienist 31174 2nd Pl Sw, Federal Way, WA 98023 2017-09-13
1700309416 Jennifer Lynn Cha Physician Assistant 820 Sw 341st St., Federal Way, WA 98023 2017-07-25
1205373958 Irina Poiata Reflexologist 1900 Sw Campus De Apt 15- 303, Federal Way, WA 98023 2017-01-19
1194275800 Cynthia Marcellus Counselor 4523 Federal Ave, Everett, WA 98023 2016-10-05
1023441383 Samantha Anne Larson Pharmacist 1300 Sw Campus Drive Apt 4-4, Federal Way, WA 98023 2013-08-09
1609149079 Stacey Lee Beilke Massage Therapist 215 Sw 319th Lane, Apt L204, Federal Way, WA 98023 2012-02-16
1336456110 Elweda Silva General Acute Care Hospital 31054 1st Pl Sw, Federal Way, WA 98023 2010-09-01
1114168739 Aleksandra Starikov Mechanotherapist 34425 16th Ave Sw, Federal Way, WA 98023 2009-03-11
Find all providers in zip 98023

Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790396893 Sahli, Im, Gu Pllc Clinic/Center 7100 Fun Center Way Ste 110, Tukwila, WA 98188-5540 2020-08-12
1720604580 Trevor Tsuchikawa Dds IIi Ps Clinic/Center 721 N 182nd St Ste 301, Shoreline, WA 98133-4400 2020-06-17
1487183000 South Sound Ambulatory Surgery Center, Pllc Clinic/Center 3425 Ensign Rd Ne Ste 310, Olympia, WA 98506-5063 2017-06-07
1700339751 David Larcher Dds Clinic/Center 24401 104th Ave Se Ste 101, Kent, WA 98030-4903 2016-07-26
1356794481 Sunridge Oral Surgery Clinic/Center 5000 W Nob Hill Blvd, Yakima, WA 98908-3746 2016-07-13
1457751273 Peter E. Kim, Dds, Ps Clinic/Center 2100 E Section St Ste 103, Mount Vernon, WA 98274-9132 2014-08-28
1700171410 North Sound Oral and Facial Surgery P.s. Clinic/Center 2620 Commercial Ave, Anacortes, WA 98221-2732 2011-06-10
1427367788 Thomas H. Hohl, D.d.s., P.s., Oral & Maxillofacial Surgery Clinic/Center 4540 Sand Point Way Ne Ste 360, Seattle, WA 98105-3941 2010-10-04
1114584968 Christopher W Kyles Dmd Md Pllc Clinic/Center 400 E Mcleod Rd, Bellingham, WA 98226 2019-05-28
1578054342 Nadeem S. Esmail Dds Md Pllc Clinic/Center 3136 Squalicum Pkwy, Bellingham, WA 98225-1954 2018-05-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City FEDERAL WAY
Zip Code 98023

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Dataset Information

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.

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