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BALLARD ORAL AND MAXILLOFACIAL SURGERY
NPI 1245668631
Dentist - Oral and Maxillofacial Surgery in Seattle, WA

Active since October 22, 2013
1801 NW MARKET ST, SUITE 108, SEATTLE, WA 98107(206) 783-9672 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ballard Oral And Maxillofacial Surgery NPPES

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

BALLARD ORAL AND MAXILLOFACIAL SURGERY (NPI 1245668631) is a healthcare organization registered as an oral and maxillofacial surgery in Seattle, Washington and active in the NPI registry since October 2013. The organization lists Elizabeth Barnes, Manager, as its authorized official.

NPPES Registry Identity

NPI1245668631
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJOHN K TIDWELL DDS PS
Location Address1801 NW MARKET ST, SUITE 108Seattle, WA 98107-3987
Mailing Address1801 Nw Market St, Suite 108Seattle, WA 98107-3987 · (206) 783-9672
Phone(206) 783-9672
Organization SubpartNo
Authorized OfficialElizabeth BarnesManager · (206) 783-9672
Enumeration DateOctober 22, 2013
✔ NPI 1245668631 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 · DE00006884
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.
1801 NW MARKET ST, Seattle, WA 98107
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Other Names 1

Other NameBallard Oral And Maxillofacial Surgery

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 20

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

DR. JOHN K. TIDWELL DDS
Dentist (Oral and Maxillofacial Surgery)
1801 NW MARKET ST, SUITE 108
SEATTLE, WA 98107
King County (206) 783-9672
GARY DAVID ROSEN M.D.
Family Medicine
1801 NW MARKET ST, SUITE 203
SEATTLE, WA 98107
King County (206) 781-6079
VINCENT T. CHAN MD
Otolaryngology
1801 NW MARKET ST, SUITE 411
SEATTLE, WA 98107
King County (206) 781-6072
TERESA LYNN GOEPFERT D. O.
Obstetrics & Gynecology
1801 NW MARKET ST, 207
SEATTLE, WA 98107
King County (206) 781-6161
JOHN R. BAGLEY LMP
Massage Therapist
1801 NW MARKET ST, SUITE 200
SEATTLE, WA 98107
King County (206) 784-2800
CYNTHIA BIRD JOHNSON M.D.
Family Medicine
1801 NW MARKET ST, SUITE 203
SEATTLE, WA 98107
King County (206) 781-6079
DR. RICHARD ALAN FOGERTY M.D.
Internal Medicine
1801 NW MARKET ST, SUITE 309
SEATTLE, WA 98107
King County (206) 784-0940
AUDREY K. ALLARD CNM
Advanced Practice Midwife
1801 NW MARKET ST, SUITE 207
SEATTLE, WA 98107
King County (206) 781-6080

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 John K Tidwell Dds Ps's NPI number?

The NPI number for John K Tidwell Dds Ps is 1245668631. It was assigned to this organization in the NPPES registry on October 22, 2013. The provider is also known as Ballard Oral And Maxillofacial Surgery.

Where is John K Tidwell Dds Ps located?

John K Tidwell Dds Ps is located at 1801 NW Market St Suite 108, Seattle, WA 98107. The listed phone number is (206) 783-9672.

What is John K Tidwell Dds Ps'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 John K Tidwell Dds Ps was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.