Spokane Oral and Maxillofacial Surgery – Oral and Maxillofacial Surgery (Dentist), NPI 1023409877

Spokane Oral and Maxillofacial Surgery is a healthcare provider. based in Spokane valley, Washington. specializing in Oral and Maxillofacial Surgery (Dentist). The organization holds a License No. D5470 (WA). The NPI Number for Spokane Oral and Maxillofacial Surgery is 1023409877

Main info

Organization
Name
Spokane Oral and Maxillofacial Surgery
NPI
1023409877
Phone
(509) 893-3635
Address
12109 E BROADWAY AVE
Authorized Official
MRS. RENEE KRISTEN BANCROFT ADMINISTRATIVE MANAGER
Enumeration Date
16 February 2015
Last Update Date
16 February 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness80
Years active:11State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Spokane Oral and Maxillofacial Surgery

  • 12109 E BROADWAY AVE

    BLDG C

    SPOKANE VALLEY, WA 992066133

    Phone: (509) 893-3635

    Fax: (509) 926-2833

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99206)

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Frequently asked questions

What federal number belongs to Spokane Oral and Maxillofacial Surgery?
The federal identifier for Spokane Oral and Maxillofacial Surgery is NPI 1023409877.
Is Spokane Oral and Maxillofacial Surgery active in the national directory?
Spokane Oral and Maxillofacial Surgery's public NPI profile is in an active state.
What does Spokane Oral and Maxillofacial Surgery treat or focus on?
Patients typically see Spokane Oral and Maxillofacial Surgery under the specialty Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Does Spokane Oral and Maxillofacial Surgery practice in Washington?
You will see Spokane Valley, Washington on file for Spokane Oral and Maxillofacial Surgery alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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