SPOKANE ORAL & MAXILLOFACIAL SURGERY
NPI 1497789820
Dentist - Oral and Maxillofacial Surgery in Spokane Valley, WA

Q: What is Spokane Oms's NPI number?

The NPI number for Spokane Oms is 1497789820. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is also known as Spokane Oral & Maxillofacial Surgery.

Q: What is Spokane Oms's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Spokane Oms was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 10, 2006

12109 E BROADWAY AVENUE SUITE C, SPOKANE VALLEY, WA 99206(509) 926-7106(509) 926-2833 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spokane Oral & Maxillofacial Surgery NPPES

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

SPOKANE ORAL & MAXILLOFACIAL SURGERY (NPI 1497789820) is a healthcare organization registered as an oral and maxillofacial surgery in Spokane Valley, Washington and active in the NPI registry since July 2006. The organization lists Marla A Telin, Coo, as its authorized official.

NPPES Registry Identity

NPI1497789820

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSPOKANE OMS

Location Address12109 E BROADWAY AVENUE SUITE CSpokane Valley, WA 99206-6133

Mailing Address12109 E Broadway Ave Ste CSpokane Valley, WA 99206-6133 · (509) 926-7106 · Fax (509) 926-2833

Phone(509) 926-7106

Fax(509) 926-2833

Organization SubpartNo

Authorized OfficialMarla A TelinCoo · (509) 926-7106

Enumeration DateJuly 10, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1497789820 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.

12109 E BROADWAY AVENUE SUITE C, Spokane Valley, WA 99206

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Other Names 1

Other NameSpokane Oral & Maxillofacial Surgery

Other Identifiers 1

Medicaid5036579WA

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

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 Spokane Oms's NPI number?

The NPI number for Spokane Oms is 1497789820. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is also known as Spokane Oral & Maxillofacial Surgery.

Where is Spokane Oms located?

Spokane Oms is located at 12109 E Broadway Avenue Suite C, Spokane Valley, WA 99206. The listed phone number is (509) 926-7106.

What is Spokane Oms'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 Spokane Oms was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.