| University Of Washington Oral & Maxillofacial Surgery Dept. | |
|
1959 Ne Pacific St Box 357134 Seattle WA 98195-7134 | |
| (206) 543-7722 | |
| (206) 685-7222 |
| Full Name | University Of Washington Oral & Maxillofacial Surgery Dept. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1959 Ne Pacific St, Seattle, Washington |
| Authorized Official Name and Position | O. Ross Beirne (PROFESSOR AND CHAIR) |
| Authorized Official Contact | 2065437722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Washington Oral & Maxillofacial Surgery Dept. 1959 Ne Pacific St Box 357134 Seattle WA 98195-7134 Ph: (206) 543-7722 | University Of Washington Oral & Maxillofacial Surgery Dept. 1959 Ne Pacific St Box 357134 Seattle WA 98195-7134 Ph: (206) 543-7722 |
| NPI Number | 1932339710 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932339710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE60216311 (Washington) | Primary |
| 282N00000X | General Acute Care Hospital | DR 60096073 (Washington) | Secondary |
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