1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Dentist
  6. NPI Profile

DR. RICHARD J. SUNDBERG D.D.S., P.S.
NPI 1063573699
Dentist - Oral and Maxillofacial Surgery in Walla Walla, WA

Active since December 13, 2006
310 S 3RD AVE, WALLA WALLA, WA 99362(509) 529-3762(509) 529-7622 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard J. Sundberg D.d.s., P.s. NPPES

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

DR. RICHARD J. SUNDBERG D.D.S., P.S. (NPI 1063573699) is a healthcare organization registered as an oral and maxillofacial surgery in Walla Walla, Washington and active in the NPI registry since December 2006. The organization lists Richard Jon Sundberg, President, as its authorized official.

NPPES Registry Identity

NPI1063573699
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDR. RICHARD J. SUNDBERG D.D.S., P.S.
Location Address310 S 3RD AVEWalla Walla, WA 99362-3037
Mailing Address310 S 3rd AveWalla Walla, WA 99362-3037 · (509) 529-3762 · Fax (509) 529-7622
Phone(509) 529-3762
Fax(509) 529-7622
Organization SubpartNo
Authorized OfficialRichard Jon SundbergPresident · (509) 529-3762
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 25, 2008
✔ NPI 1063573699 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 · DE00004263
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.
310 S 3RD AVE, Walla Walla, WA 99362
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINT03120
Medicare ID-Type Unspecified001300160WA
Other0028263WA · State Labor & Industries
Medicaid5347000WA

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 5

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

DR. RICHARD JON SUNDBERG D.D.S.
Dentist (Oral and Maxillofacial Surgery)
310 S 3RD AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 529-3762
ANTONIO D. CASO, D.D.S., P.S.
Dentist (Oral and Maxillofacial Surgery)
310 S 3RD AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 529-3760
FAMILY ACUPUNCTURE & WELLNESS LLC
Acupuncturist
310 S 3RD AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 525-9081
WHITE CRANE LLC
Acupuncturist
310 S 3RD AVE
WALLA WALLA, WA 99362
Walla Walla County (971) 300-7941
ANTONIO CASO DDS
Dentist (Oral and Maxillofacial Surgery)
310 S 3RD AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 529-3760

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 Dr. Richard J. Sundberg D.D.S., P.S.'s NPI number?

The NPI number for Dr. Richard J. Sundberg D.D.S., P.S. is 1063573699. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Dr. Richard J. Sundberg D.D.S., P.S. located?

Dr. Richard J. Sundberg D.D.S., P.S. is located at 310 S 3rd Ave, Walla Walla, WA 99362. The listed phone number is (509) 529-3762.

What is Dr. Richard J. Sundberg 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 Dr. Richard J. Sundberg D.D.S., P.S. was last updated on September 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.