SUNRIDGE ORAL SURGERY NPI 1356794481

NPI Information

  • NPI: 1356794481
  • Provider Name: SUNRIDGE ORAL SURGERY
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 5000 W NOB HILL BLVD
    YAKIMA, WA
    ZIP 98908
  • Phone: (509) 853-3622

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NPI Details

SUNRIDGE ORAL SURGERY is an oral and maxillofacial surgery clinic center in Yakima, WA. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. SUNRIDGE ORAL SURGERY NPI is 1356794481. The provider is registered as an organization entity type.

The provider's business location address is:

5000 W NOB HILL BLVD
YAKIMA, WA
ZIP 98908-746
Phone: (509) 853-3622
Fax: (509) 853-3623

The provider's authorized official is Darrell K Tew .
The authorized official title is President and has the following contact phone number (509) 853-3622.

The enumeration date for this NPI number is 7/13/2016 and was last updated on 7/13/2016.

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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryDE00006691WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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