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THE GREENAWALT DHALIWAL LLP NPI 1467655548


NPI Information

NPI: 1467655548
Provider Name: THE GREENAWALT DHALIWAL LLP

Doing Business As: KITSAP OMS

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
19503 7TH AVE NE
POULSBO, WA
ZIP 98370
Phone: (360) 779-2339
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THE GREENAWALT DHALIWAL LLP is an oral maxillofacial surgery in Poulsbo, WA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. THE GREENAWALT DHALIWAL LLP NPI is 1467655548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kitsap Oms.

The provider's business location address is:

19503 7TH AVE NE
POULSBO, WA
ZIP 98370
Phone: (360) 779-2339
Fax: (360) 779-6475

The provider's authorized official is Paul B Greenawait .
The authorized official title is Partner and has the following contact phone number (360) 698-9335.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 2/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery8080WASHINGTONNo
2204E00000XOral & Maxillofacial SurgeryWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U71903MEDICARE UPINWASHINGTON
2U42162MEDICARE UPINWASHINGTON
3115138600OTHERWASHINGTONMEDICARE ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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