FREUEN HAUCK PAXTON OMS PLLC


Address: 9911 N Nevada St Ste 120, Spokane, WA 99218-1298
Phone: 5092423336

FREUEN HAUCK PAXTON OMS PLLC (NPI# 1942710231) 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) 1942710231
Entity Type Organization
Organization Name FREUEN HAUCK PAXTON OMS PLLC
Practice Address 9911 N Nevada St Ste 120
Spokane
WA 99218-1298
Practice Telephone 5092423336
Mailing Telephone 5092423336
Mailing Fax Number 8665541392
Enumeration Date 2017-10-02
Last Update Date 2019-04-04
Authorized Official Name MRS. RENEE KRISTEN BANCROFT (ADMIN MANAGER)
Authorized Official Telephone 5092423336
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE LICENSE 60378265 01
WA WASHINGTON STATE LICENSE 8645 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2807 S Stone St Ste 202, Spokane, WA 992234904 5092423336
9911 N Nevada St Ste 120, Spokane, WA 992181298 5092423336

Office Location

Street Address 9911 N NEVADA ST STE 120
City SPOKANE
State WA
Zip Code 99218-1298

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1891282455 Timary Mathena Specialist/Technologist 11107 North Astor Road, Spokane, WA 99218 2018-04-19
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1902295363 Annabelle Morgan Midwife 11725 N Lincoln Ct, Spokane, WA 99218 2015-01-22
1578967543 Deana Marie Ray Massage Therapist 1231 N Division, Ste 105, Spokane, WA 99218 2014-10-20
1770909889 Krista Dye Occupational Therapist 9827 N Nevada, Spokane, WA 99218 2014-03-13
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1629312749 Michelle Reid Community Health Worker 10709 N Madison, Spokane, WA 99218 2012-11-15
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
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 city

NPI Name Taxonomy Address Enumeration
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
1336320621 Collins Oral & Maxillofacial Surgery, Ps Dentist 322 W 7th Ave, Spokane, WA 99204-2504 2007-11-15
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Competitor

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City SPOKANE
Zip Code 99218

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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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