COLLINS ORAL & MAXILLOFACIAL SURGERY, PS (NPI# 1336320621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336320621 |
| Entity Type | Organization |
| Organization Name | COLLINS ORAL & MAXILLOFACIAL SURGERY, PS |
| Practice Address |
322 W 7th Ave Spokane WA 99204-2504 |
| Practice Telephone | 5096242202 |
| Mailing Telephone | 5096242202 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2009-02-13 |
| Authorized Official Name | KRISTIN HUMPHREY (OFFICE MANAGER) |
| Authorized Official Telephone | 5096242204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5035753 | 05 |
| Street Address |
322 W 7TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721732 | Patrick C. Collins | Dentist | 322 W 7th Ave, Spokane, WA 99204-2504 | 2006-02-27 |
| 1548388879 | Kandis Lynds | Dental Assistant | 322 W 7th Ave, Spokane, WA 99204-2504 | 2007-03-26 |
| 1073631305 | Lindsey B Nelson | Dental Assistant | 322 W 7th Ave, Spokane, WA 99204-2504 | 2007-03-26 |
| 1215903554 | Chad P. Collins | Dentist | 322 W 7th Ave, Spokane, WA 99204-2504 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| 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 |
|---|---|---|---|---|
| 1942710231 | Freuen Hauck Paxton Oms Pllc | Dentist | 9911 N Nevada St Ste 120, Spokane, WA 99218-1298 | 2017-10-02 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1790959377 | Nicholas Downey Freuen | Dentist | 101 W Cascade Way Ste 103, Spokane, WA 99208-6000 | 2008-04-15 |
| 1497721732 | Patrick C. Collins | Dentist | 322 W 7th Ave, Spokane, WA 99204-2504 | 2006-02-27 |
| 1730179334 | Cascade Oral & Maxillofacial Surgery | Dentist | 101 W Cascade Way, Suite 103, Spokane, WA 99208-6003 | 2005-10-25 |
| 1508862293 | Cary B Simonds | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2005-06-27 |
| 1609870070 | W Dale Crum | Dentist | 2204 E 29th Ave, Ste 104, Spokane, WA 99203-3961 | 2005-06-13 |
| 1881015220 | Osp Spokane Pllc | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2014-01-03 |
| 1982965976 | Inland Oral Surgery P.s. | Dentist | 2204 E 29th Ave, Suite 104, Spokane, WA 99203-3961 | 2012-06-06 |
| 1093977506 | David G. Gailey | Dentist | 2204 E 29th Ave, Suite #104, Spokane, WA 99203-3961 | 2008-06-26 |
| Find all providers in SPOKANE | ||||
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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.