VANCOUVER ORAL SURGERY GROUP (NPI# 1568568772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568568772 |
| Entity Type | Organization |
| Organization Name | VANCOUVER ORAL SURGERY GROUP |
| Practice Address |
300 Se 120th Ave Suite 600 Vancouver WA 98683-4090 |
| Practice Telephone | 3602603290 |
| Practice Fax Number | 3602603291 |
| Mailing Telephone | 3602603290 |
| Mailing Fax Number | 3602603291 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GREGORY W BOICE (PRESIDENT) |
| Authorized Official Telephone | 3602603290 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| Street Address |
300 SE 120TH AVE SUITE 600 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679593149 | Martin J Matovich | Dentist | 300 Se 120th Ave, Suite 400, Vancouver, WA 98683-4090 | 2006-07-20 |
| 1912228073 | Lubisich & Lubisich, Pllc | Dentist | 300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 | 2010-06-11 |
| 1760703821 | Peter Lubisich Iv | Dentist | 300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 | 2010-06-11 |
| 1326260035 | Josef W Lubisich | Dentist | 300 Se 120th Ave, Ste. 100, Vancouver, WA 98683-4090 | 2007-05-03 |
| 1538385315 | Jared Thomas Bowyer | Dentist | 300 Se 120th Ave, Ste 700, Vancouver, WA 98683-4090 | 2007-04-18 |
| 1518088715 | David Leroy Nutter | Dentist | 300 Se 120th Ave, Suite 800, Vancouver, WA 98683-4090 | 2007-04-03 |
| 1811081540 | Mark A Johnson | Dentist | 300 Se 120th Ave, Suite 200, Vancouver, WA 98683-4090 | 2006-10-03 |
| 1790881910 | Gregory W Boice | Dentist | 300 Se 120th Ave, #600, Vancouver, WA 98683-4090 | 2006-09-15 |
| 1639275878 | Martin A Seidenschmid | Dentist | 300 Se 120th Ave, Suite 600, Vancouver, WA 98683-4090 | 2006-09-15 |
| 1225134497 | Daniel R Dorsey | Dentist | 300 Se 120th Ave, Suite 600, Vancouver, WA 98683-4090 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082368 | Yen Chen Kevin Ko | Dentist | 910 W 10th Ave, Jppn, 1st Fl, Rm 1250, Vancouver, BC V5Z 1M9 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653197 | Matthew Callan Dds Pllc | Dentist | 2530 Perry Ave Ste 100, Bremerton, WA 98310-5219 | 2019-01-17 |
| 1427373869 | Cazan & Menke Pllc | Dentist | W. 13326 14th Street, Airway Heights, WA 99001 | 2010-03-29 |
| 1982662482 | Scott Clayhold | Dentist | 22605 Se 56th St, Ste. 110, Issaquah, WA 98029-5289 | 2006-05-03 |
| 1760447122 | Oral Surgery Associates Inc. | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-04-19 |
| 1841252996 | Mark Richard Gleisner | Dentist | 2 Nd Floor Bldg 9900, Attn: Credentials Office, Tacoma, WA 98431-0001 | 2006-04-04 |
| 1326303298 | Julia Yu Fong Chang | Dentist | 1959 Ne Pacific St, Room B-202, Seattle, WA 98195-7133 | 2012-07-06 |
| 1942410436 | Oral Surgery Plus P.s. | Dentist | 123 W Francis Ave, Suite 101, Spokane, WA 99205-6348 | 2007-05-23 |
| 1598974339 | Darrell Rick Edwards | Dentist | 2345 Sw 320th St, Federal Way, WA 98023-2568 | 2007-05-21 |
| 1760542153 | Darrell K. Tew | Dentist | 1703 Creekside Loop, Suite 100, Yakima, WA 98902-4875 | 2006-12-08 |
| 1275691198 | Ralph K Zech II | Dentist | 1229 Madison St, Suite 1020, Seattle, WA 98104-3586 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VANCOUVER ORAL SURGERY GROUP.
| 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.