EDMONDS ORAL SURGERY, P.S. – NPI #1811171275
Clinic/Center

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.

EDMONDS ORAL SURGERY, P.S. is an AHC clinic located in EDMONDS, WA. NPPES has assigned the NPI number 1811171275 to EDMONDS ORAL SURGERY, P.S. on December 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

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 EDMONDS ORAL SURGERY, P.S. below.

NPI Profile for
EDMONDS ORAL SURGERY, P.S.

NPI Number
1811171275
Enumeration Date

(more than 18 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
EDMONDS ORAL SURGERY, P.S.
Primary location
21701 76TH AVE W
#202
EDMONDS, WA 98026-7536
Phone: (425) 744-1724 Fax: (425) 744-1726
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN HELDRIDGE
PARTNER/PRESIDENT
Phone: (425) 744-1724
Updated
Identifiers

Identifiers for EDMONDS ORAL SURGERY, P.S.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA5014691
MEDICAIDWA5350608
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
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)
WA

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.