INLAND ORAL SURGERY P.S. (NPI# 1982965976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982965976 |
| Entity Type | Organization |
| Organization Name | INLAND ORAL SURGERY P.S. |
| Practice Address |
2204 E 29th Ave Suite 104 Spokane WA 99203-3961 |
| Practice Telephone | 5093211404 |
| Practice Fax Number | 5093210211 |
| Mailing Telephone | 5093211404 |
| Mailing Fax Number | 5093210211 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | DR. W. DALE CRUM (OWNER) |
| Authorized Official Telephone | 5099534067 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | Y |
| Parent Organization Name | INLAND ORAL SURGERY P.S. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00007006 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1609870070 | 05 |
| Street Address |
2204 E 29TH AVE SUITE 104 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870070 | W Dale Crum | Dentist | 2204 E 29th Ave, Ste 104, Spokane, WA 99203-3961 | 2005-06-13 |
| 1245640606 | Hartwig Health Ps | Family Medicine | 2204 E 29th Ave, Suite 202, Spokane, WA 99203-3961 | 2014-05-06 |
| 1992067607 | Paul C Fawson IIi Dds Inc Ps | Dentist | 2204 E 29th Ave, Ste 208, Spokane, WA 99203-3961 | 2012-06-10 |
| 1093977506 | David G. Gailey | Dentist | 2204 E 29th Ave, Suite #104, Spokane, WA 99203-3961 | 2008-06-26 |
| 1447474101 | Charles L Regalado | Dentist | 2204 E 29th Ave, Suite 208, Spokane, WA 99203-3961 | 2007-04-12 |
| 1942335112 | John Michael Schruth | Physical Therapist | 2204 E 29th Ave, Suite 202, Spokane, WA 99203-3961 | 2007-02-21 |
| 1437132305 | Kelly R Clarke | Dentist | 2204 E 29th Ave, Ste. 208, Spokane, WA 99203-3961 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| 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 |
| 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 |
| 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.