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SPOKANE ORAL AND MAXILLOFACIAL SURGERY
NPI 1023409877
Dentist - Oral and Maxillofacial Surgery in Spokane Valley, WA

Active since February 16, 2015
12109 E BROADWAY AVE, BLDG C, SPOKANE VALLEY, WA 99206(509) 893-3635(509) 926-2833 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spokane Oral And Maxillofacial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPOKANE ORAL AND MAXILLOFACIAL SURGERY (NPI 1023409877) is a healthcare organization registered as an oral and maxillofacial surgery in Spokane Valley, Washington and active in the NPI registry since February 2015. The organization lists Renee Kristen Bancroft, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1023409877
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMARK C PAXTON, D.D.S, P.S
Location Address12109 E BROADWAY AVE, BLDG CSpokane Valley, WA 99206-6133
Mailing Address12109 E Broadway Ave, Bldg CSpokane Valley, WA 99206-6133 · (509) 893-3635 · Fax (509) 926-2833
Phone(509) 893-3635
Fax(509) 926-2833
Organization SubpartNo
Authorized OfficialRenee Kristen BancroftAdministrative Manager · 50989393635
Enumeration DateFebruary 16, 2015
✔ NPI 1023409877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · D5470
Definition

An oral and maxillofacial surgery dentist specialized in 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.

12109 E BROADWAY AVE, Spokane Valley, WA 99206
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Other Names 1

Other NameSpokane Oral And Maxillofacial Surgery

Other Identifiers 1

Medicare UPING8856979WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPOKANE ORAL AND MAXILLOFACIAL SURGERY ASC
Clinic/Center (Oral and Maxillofacial Surgery)
12109 E BROADWAY AVE, BUILDING C
SPOKANE VALLEY, WA 99206
Spokane County (509) 926-7106
BRYAN W. MCLELLAND D.D.S., P.S.
Clinic/Center (Oral and Maxillofacial Surgery)
12109 E BROADWAY AVE, BLDG C
SPOKANE VALLEY, WA 99206
Spokane County (509) 922-2273
SPOKANE DIGITAL DIAGNOSTIC
Clinic/Center (Oral and Maxillofacial Surgery)
12109 E BROADWAY AVE, BUILDING C
SPOKANE VALLEY, WA 99206
Spokane County (509) 926-7106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark C Paxton, D.D.S, P.S's NPI number?

The NPI number for Mark C Paxton, D.D.S, P.S is 1023409877. It was assigned to this organization in the NPPES registry on February 16, 2015. The provider is also known as Spokane Oral And Maxillofacial Surgery.

Where is Mark C Paxton, D.D.S, P.S located?

Mark C Paxton, D.D.S, P.S is located at 12109 E Broadway Ave Bldg C, Spokane Valley, WA 99206. The listed phone number is (509) 893-3635.

What is Mark C Paxton, D.D.S, P.S's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mark C Paxton, D.D.S, P.S was last updated on February 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.