EDMONDS ORAL SURGERY, P.S. (NPI# 1811171275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811171275 |
| Entity Type | Organization |
| Organization Name | EDMONDS ORAL SURGERY, P.S. |
| Practice Address |
21701 76th Ave W #202 Edmonds WA 98026-7536 |
| Practice Telephone | 4257441724 |
| Practice Fax Number | 4257441726 |
| Mailing Telephone | 4257441724 |
| Mailing Fax Number | 4257441726 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | DR. JOHN E HELDRIDGE (PARTNER/PRESIDENT) |
| Authorized Official Telephone | 4257441724 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5350608 | 05 | |
| WA | 5014691 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EDMONDS ORAL SURGERY, P.S. | 21701 76th Ave W # 202, Edmonds, WA 98026 |
| Street Address |
21701 76TH AVE W #202 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586307 | Sharon Ann Nicolazzi | Dermatology | 21701 76th Ave W, Suite 100, Edmonds, WA 98026-7536 | 2006-05-18 |
| 1437515442 | Integrative Psychological and Social Services | Psychologist | 21701 76th Ave W, Suite 302, Edmonds, WA 98026 | 2016-01-06 |
| 1437438058 | Community Health Center of Snohomish County | Clinic/Center | 21701 76th Ave W, Suite 300, Edmonds, WA 98026-7536 | 2011-08-12 |
| 1063720456 | Jrk Pharma Inc | Clinic/Center | 21701 76th Ave W, Ste 104 B, Edmonds, WA 98026-7536 | 2010-09-20 |
| 1982911442 | Jrk Pharma Inc | Clinic/Center | 21701 76th Ave W, Ste 104 A, Edmonds, WA 98026-7536 | 2010-09-04 |
| 1518297613 | Ward Martin Smalley | Dentist | 21701 76th Ave W, Suite 204, Edmonds, WA 98026-7536 | 2010-01-12 |
| 1740410885 | Robert R Faucher | Dentist | 21701 76th Ave W, Ste 204, Edmonds, WA 98026-7536 | 2009-07-23 |
| 1932345840 | Puget Sound Dermatology, Pllc | Dermatology | 21701 76th Ave W, Suite 302, Edmonds, WA 98026 | 2008-12-23 |
| 1457547655 | Kean B. Lawlor, Md, Pllc | Dermatology | 21701 76th Ave W, Suite 100, Edmonds, WA 98026-7536 | 2007-09-20 |
| 1093924243 | John Edward Heldridge | Dentist | 21701 76th Ave W, Suite 202, Edmonds, WA 98026-7536 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 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 |
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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.