Spokane Oral & Maxillofacial Surgery – Oral and Maxillofacial Surgery (Dentist), NPI 1497789820

Spokane Oral & Maxillofacial Surgery is a healthcare provider. based in Spokane valley, Washington. specializing in Oral and Maxillofacial Surgery (Dentist). The organization holds a License No. ========= (WA). The NPI Number for Spokane Oral & Maxillofacial Surgery is 1497789820

Main info

Organization
Name
Spokane Oral & Maxillofacial Surgery
NPI
1497789820
Phone
(509) 926-7106
Address
12109 E BROADWAY AVE STE C
Authorized Official
MRS. MARLA A TELIN COO
Enumeration Date
10 July 2006
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Spokane Oral & Maxillofacial Surgery

  • 12109 E BROADWAY AVE STE C

    SPOKANE VALLEY, WA 992066133

    Phone: (509) 926-7106

    Fax: (509) 926-2833

    Type: Mailing

  • 12109 E BROADWAY AVENUE SUITE C

    SPOKANE VALLEY, WA 992066133

    Phone: (509) 926-7106

    Fax: (509) 926-2833

    Type: Location

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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No Medicare enrollment or revalidation data available for this provider in our database.

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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 number should I use to identify Spokane Oral & Maxillofacial Surgery for billing?
Administrative and clinical systems typically use NPI 1497789820 for Spokane Oral & Maxillofacial Surgery.
Is Spokane Oral & Maxillofacial Surgery currently accepting referrals based on NPI status?
Registry metadata lists Spokane Oral & Maxillofacial Surgery as active.
Which specialty label fits Spokane Oral & Maxillofacial Surgery?
NPPES ties Spokane Oral & Maxillofacial Surgery to Oral and Maxillofacial Surgery (Dentist) in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Spokane Oral & Maxillofacial Surgery?
The directory associates Spokane Oral & Maxillofacial Surgery with Spokane Valley, Washington. Check all listed addresses for suites or satellite offices.
Can I export Spokane Oral & Maxillofacial Surgery's record?
You can download the official NPPES record; we summarize key fields for readability.

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