SOUTH SOUND ORAL SURGERY PLLC
NPI 1396830238
Dentist - Oral and Maxillofacial Surgery in Centralia, WA

Active since October 04, 2006
1220 W 1ST ST, STE A, CENTRALIA, WA 98531(360) 736-0715(360) 330-5091 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Sound Oral Surgery Pllc NPPES

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

SOUTH SOUND ORAL SURGERY PLLC (NPI 1396830238) is a healthcare organization registered as an oral and maxillofacial surgery in Centralia, Washington and active in the NPI registry since October 2006. The organization lists Laura Jean Caswell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396830238
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTH SOUND ORAL SURGERY PLLC
Location Address1220 W 1ST ST, STE ACentralia, WA 98531-3018
Mailing Address1220 W 1st W, Ste ACentralia, WA 98531 · (360) 736-0715 · Fax (360) 330-5091
Fax(360) 330-5091
Organization SubpartNo
Authorized OfficialLaura Jean CaswellOffice Manager · (360) 736-0715
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 25, 2008
NPI 1396830238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
1220 W 1ST ST, Centralia, WA 98531

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 2

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

Clinic/Center (Podiatric)
1220 W 1ST ST, STE B
CENTRALIA, WA 98531
Family Medicine
1220 W 1ST ST, SUITE B
CENTRALIA, WA 98531

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 South Sound Oral Surgery PLLC's NPI number?

The NPI number for South Sound Oral Surgery PLLC is 1396830238. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is South Sound Oral Surgery PLLC located?

South Sound Oral Surgery PLLC is located at 1220 W 1st St Ste A, Centralia, WA 98531. The listed phone number is (360) 736-0715.

What is South Sound Oral Surgery PLLC'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 South Sound Oral Surgery PLLC was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.