| Antonio Caso, DDS | |
|
310 S 3rd Ave, Walla Walla, WA 99362-3037 | |
| (509) 529-3760 | |
| (509) 529-7622 |
| Full Name | Antonio Caso |
|---|---|
| Gender | Male |
| Speciality | Oral Surgery |
| Experience | 27 Years |
| Location | 310 S 3rd Ave, Walla Walla, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689844003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00008739 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walla Walla Oms, Llc | 2264691781 | 2 |
| Entity Name | Walla Walla Oms, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417226283 PECOS PAC ID: 2264691781 Enrollment ID: O20120301000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Caso, DDS 310 S 3rd Ave, Walla Walla, WA 99362-3037 Ph: () - | Antonio Caso, DDS 310 S 3rd Ave, Walla Walla, WA 99362-3037 Ph: (509) 529-3760 |
Mr. Chad T. Ordelheide, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-2752 Fax: 509-525-9063 | |
Dr. Dwight Layne Johnson, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1129 S 2nd Ave Ste D, Walla Walla, WA 99362 Phone: 509-516-1200 Fax: 509-516-1209 | |
Dr. Julie M Kellogg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-522-0940 Fax: 509-525-9063 | |
Nadia Farjo, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 614 E Alder St Ste 2, Walla Walla, WA 99362 Phone: 206-948-1249 | |
Fnu Nisina, Dentist Medicare: Medicare Enrolled Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 | |
Dr. Jason M. Faghih, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 217 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-525-7250 | |
Dr. Richard Jon Sundberg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 |