Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Sound Ambulatory Surgery Center, PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1487183000

South Sound Ambulatory Surgery Center, PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3425 Ensign Rd NE Ste 310
Olympia, WA 98506-5063
Phone: (360) 456-5678
Fax: (360) 456-1238
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 601803289 (WA)
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1487183000
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Sound Oral Surgery PLLC
Authorized official Joseph Mulrean — Co-Owner · (360) 456-5678
NPI enumeratedJune 7, 2017
Last updated in NPPESJuly 21, 2022
Mailing address3425 Ensign Rd Ne Ste 310, Olympia, WA 98506-5063

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