FACIAL SURGERY CENTER OF SEATTLE (NPI# 1235343526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235343526 |
| Entity Type | Organization |
| Organization Name | FACIAL SURGERY CENTER OF SEATTLE |
| Practice Address |
509 Olive Way Suite 1454 Seattle WA 98101-1720 |
| Practice Telephone | 2066240852 |
| Practice Fax Number | 2066222084 |
| Mailing Telephone | 2066240852 |
| Mailing Fax Number | 2066222084 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DYANNE K. MIDDAUGH (PRACTICE MANAGER) |
| Authorized Official Telephone | 2066240852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9246 | WA | Dental Providers |
| Street Address |
509 OLIVE WAY SUITE 1454 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637538 | Bobby L. Butler, Dds Pllc | Dentist | 509 Olive Way, Ste 1524, Seattle, WA 98101-1749 | 2005-05-31 |
| 1174057350 | Gumshoe Health | Clinic/Center | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-04-14 |
| 1841723426 | Nfm Health Incorporated | Naturopath | 509 Olive Way, Suite 1315, Seattle, WA 98101-1720 | 2017-04-10 |
| 1831620145 | Andrew Marks | Massage Therapist | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-03-27 |
| 1215468400 | Camille Christine Campbell | Massage Therapist | 509 Olive Way, Ste. 755, Seattle, WA 98101-1720 | 2017-03-21 |
| 1639610934 | Andrew Birton Smith | Family Medicine | 509 Olive Way, Seattle, WA 98101-1720 | 2017-03-20 |
| 1043752827 | Caroline M Herron, Dds, Msd, Pllc | Dentist | 509 Olive Way, #627, Seattle, WA 98101-1720 | 2016-11-10 |
| 1447701891 | Burcu Bayirli | Dentist | 509 Olive Way, Seattle, WA 98101-1720 | 2016-10-20 |
| 1184170672 | Joanne Epping-jordan Phd Pllc | Psychologist | 509 Olive Way, Suite 204, Seattle, WA 98101-1726 | 2016-08-25 |
| 1083167266 | Alan E Moritis Dds Pllc | Dentist | 509 Olive Way, Suite 1520, Seattle, WA 98101-1720 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
| 1952788150 | David J Haralson | Dentist | 509 Olive Way Ste 1331, Seattle, WA 98101-1743 | 2015-04-27 |
| 1912391350 | Li Han Lai | Dentist | Department of Oral Surgery 1959 Ne Pacific St, Health Sciences Building B-241, Seattle, WA 98195-0001 | 2015-03-24 |
| 1568693240 | Todd Paul Fairbanks | Dentist | University of Washington Oral Surgery Dept, Box 357134, 1959 Ne Pacific St., Seattle, WA 98195-7134 | 2009-07-29 |
| 1720292436 | Samuel Louis Bobek | Dentist | 600 Broadway Ste 460, Seattle, WA 98122-5312 | 2007-05-10 |
| 1669522546 | Thomas Stuart Maring | Dentist | 509 Olive Way Ste 550, Seattle, WA 98101-1736 | 2007-01-11 |
| 1093882185 | Darlene Michelle Chan | Dentist | 4744 41st Ave Sw Suite 107, Seattle, WA 98116-4566 | 2006-11-30 |
| 1750387361 | Thomas Howard Hohl | Dentist | 4540 Sand Point Way Ne, Ste 360, Seattle, WA 98105 | 2005-06-28 |
| 1750842415 | Brian H. Cheung, Dds, Md, Pllc | Dentist | 509 Olive Way Ste 1331, Seattle, WA 98101-1743 | 2019-03-26 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.