PACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGERY
NPI 1689080467
Clinic/Center - Oral and Maxillofacial Surgery in Federal Way, WA

Active since July 01, 2014
2345 SW 320TH ST, FEDERAL WAY, WA 98023(253) 838-2123(253) 874-3624 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacific Northwest Oral And Maxillofacial Surgery NPPES

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

PACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGERY (NPI 1689080467) is a healthcare organization registered as an oral and maxillofacial surgery in Federal Way, Washington and active in the NPI registry since July 2014. The organization lists Carl Kenneth Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689080467
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NamePACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGERY
Location Address2345 SW 320TH STFederal Way, WA 98023-2568
Mailing Address2345 Sw 320th StFederal Way, WA 98023-2568 · (253) 838-2123 · Fax (253) 874-3624
Fax(253) 874-3624
Organization SubpartNo
Authorized OfficialCarl Kenneth JohnsonOwner · (425) 277-1844
Enumeration DateJuly 1, 2014
NPI 1689080467 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
License Licensed in WA · DE00006475
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.

2345 SW 320TH ST, Federal Way, WA 98023

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
2345 SW 320TH ST
FEDERAL WAY, WA 98023
Durable Medical Equipment & Medical Supplies
2345 SW 320TH ST
FEDERAL WAY, WA 98023
Dentist (Oral and Maxillofacial Surgery)
2345 SW 320TH ST
FEDERAL WAY, WA 98023
Dentist (Oral and Maxillofacial Pathology)
2345 SW 320TH ST
FEDERAL WAY, WA 98023

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 Pacific Northwest Oral And Maxillofacial Surgery's NPI number?

The NPI number for Pacific Northwest Oral And Maxillofacial Surgery is 1689080467. It was assigned to this organization in the NPPES registry on July 1, 2014.

Where is Pacific Northwest Oral And Maxillofacial Surgery located?

Pacific Northwest Oral And Maxillofacial Surgery is located at 2345 SW 320th St, Federal Way, WA 98023. The listed phone number is (253) 838-2123.

What is Pacific Northwest Oral And Maxillofacial Surgery's specialty?

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

When was this NPI record last updated?

The NPPES record for Pacific Northwest Oral And Maxillofacial Surgery was last updated on July 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.