Inland Oral Surgery P.S.

LBN: Inland Oral Surgery P.S.
Inland Oral Surgery P.S. is an health care organization with primary practice located at 2204 E 29Th Ave Suite 104, Spokane WA 99203-3961. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Inland Oral Surgery P.S. can be contacted via phone (509) 321-1404, or through Crum, W. Dale via phone (509) 953-4067.

Contact Information

Primary practice address
2204 E 29Th Ave Suite 104 Spokane WA 99203-3961
Phone: (509) 321-1404
Fax: (509) 321-0211
Website:
Map and Directions
Authorized official contact:
Name: Crum, W. Dale Doctor of Dental Surgery (DDS)
Phone: (509) 953-4067

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE00007006 Washington

Profile Details

NPI number 1982965976
LBN Legal business name Inland Oral Surgery P.S.
DBA Doing business as
Authorized official Crum, W. Dale Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982965976 NPPES
Washington MEDICAID 1609870070

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