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LIBERTY ORAL & FACIAL SURGERY
NPI 1396292074
Clinic/Center - Oral and Maxillofacial Surgery in Spokane Valley, WA

Active since September 09, 2016CLIA Certified · 2 labs
12109 E BROADWAY AVE, BLDG C, SPOKANE VALLEY, WA 99206(509) 922-2273(509) 344-1113 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Oral & Facial Surgery NPPES

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

LIBERTY ORAL & FACIAL SURGERY (NPI 1396292074) is a healthcare organization registered as an oral and maxillofacial surgery in Spokane Valley, Washington and active in the NPI registry since September 2016. The organization holds 2 active CLIA laboratory certificates and lists Bryan Mclelland, Oral Surgeon / Owner, as its authorized official.

NPPES Registry Identity

NPI1396292074
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameBRYAN W. MCLELLAND D.D.S., P.S.
Location Address12109 E BROADWAY AVE, BLDG CSpokane Valley, WA 99206-6133
Mailing Address602 N Calgary Ct, Suite 202Post Falls, ID 83854-4000 · (208) 262-2660 · Fax (509) 344-1113
Phone(509) 922-2273
Fax(509) 344-1113
Organization SubpartNo
Authorized OfficialBryan MclellandOral Surgeon / Owner · (509) 939-7684
Enumeration DateSeptember 9, 2016
✔ NPI 1396292074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center 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 NameLiberty Oral & Facial Surgery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2106902

Dr Bryan W Mclelland Dds Ps · Post Falls, ID
Active · expires Dec 30, 2027
CLIA Number13D2106902
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorBryan W. Mclelland
Laboratory Phone(509) 922-2273
Laboratory LocationDr Bryan W Mclelland Dds Ps602 N Calgary Ct #202, Post Falls, ID 83854
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2107391

Dr Bryan W Mclelland Dds · Veradale, WA
Active · expires Apr 4, 2028
CLIA Number50D2107391
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBryan W. Mclelland
Laboratory Phone(509) 922-2273
Laboratory LocationDr Bryan W Mclelland Dds507 N Sullivan Ste 120, Veradale, WA 99037
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MARK C PAXTON, D.D.S, P.S
Dentist (Oral and Maxillofacial Surgery)
12109 E BROADWAY AVE, BLDG C
SPOKANE VALLEY, WA 99206
Spokane County (509) 893-3635
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
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 Bryan W. Mclelland D.D.S., P.S.'s NPI number?

The NPI number for Bryan W. Mclelland D.D.S., P.S. is 1396292074. It was assigned to this organization in the NPPES registry on September 9, 2016. The provider is also known as Liberty Oral & Facial Surgery.

Where is Bryan W. Mclelland D.D.S., P.S. located?

Bryan W. Mclelland D.D.S., P.S. is located at 12109 E Broadway Ave Bldg C, Spokane Valley, WA 99206. The listed phone number is (509) 922-2273.

What is Bryan W. Mclelland D.D.S., P.S.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Does Bryan W. Mclelland D.D.S., P.S. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bryan W. Mclelland D.D.S., P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bryan W. Mclelland D.D.S., P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan W. Mclelland D.D.S., P.S. was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.