3D MAXILLOFACIAL IMAGING – NPI #1366719254
Clinic/Center

3D MAXILLOFACIAL IMAGING is an AHC clinic located in WALLA WALLA, WA. NPPES has assigned the NPI number 1366719254 to 3D MAXILLOFACIAL IMAGING on November 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “3D MAXILLOFACIAL IMAGING” is a dba name, the actual legal business name for this organization is 3D MAXILLOFACIAL IMAGING, PLLC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 3D MAXILLOFACIAL IMAGING below.

NPI Profile for
3D MAXILLOFACIAL IMAGING, PLLC

NPI Number
1366719254
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
3D MAXILLOFACIAL IMAGING, PLLC
Doing Business As (dba): 3D MAXILLOFACIAL IMAGING
Primary location
213 S 2ND AVE
WALLA WALLA, WA 99362-3002
Phone: (509) 529-4111 Fax: (509) 526-5295
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NANNETTE GOYER
OWNER/DENTIST
Phone: (509) 529-4111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.