location
search-icon
institution
Lewiston-clarkston Oral & Max. Surg. Pc
Oral and Maxillofacial Surgery (Dentist) in Clarkston, Washington
NPI 1740479914

Lewiston-clarkston Oral & Max. Surg. Pc is a Oral and Maxillofacial Surgery (Dentist) based in Clarkston, WA and is specialized in Oral and Maxillofacial Surgery. Lewiston-clarkston Oral & Max. Surg. Pc practices in Clarkston, WA. The NPI Number for Lewiston-clarkston Oral & Max. Surg. Pc is 1740479914 and holds a License No. DE00007763 (Washington).

The current practice location address for Lewiston-clarkston Oral & Max. Surg. Pc is 1119 Highland Ave, Clarkston, WA and can be reached out via phone at 509-751-1110 and via fax at 509-751-1114.

Location: 1119 Highland Ave, Clarkston, WA, 99403-2836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740479914
Provider Name
Lewiston-clarkston Oral & Max. Surg. Pc
Credential
Provider Entity Type
Organization
Address
1119 Highland Ave, Clarkston, WA, 99403-2836
Phone Number
509-751-1110
Fax Number
509-751-1114
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
G8804447 01 WA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1119 Highland Ave
City
Clarkston
State
Washington
Zip
99403-2836
Phone Number
509-751-1110
Fax Number
509-751-1114
person
Provider Business Mailing Address Details
Address
1119 Highland Ave
City
Clarkston
State
Washington
Zip
99403-2836
Phone Number
509-751-1110
Fax Number
509-751-1114
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DE00007763 (Washington)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.