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

Spokane Oral and Maxillofacial Surgery ASC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1275876849

Spokane Oral and Maxillofacial Surgery ASC is an Oral and Maxillofacial Surgery Clinic/Center in Spokane Valley, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

12109 E Broadway Ave Bldg C
Spokane Valley, WA 99206-6133
Phone: (509) 926-7106
Fax: (509) 926-2833
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X (WA)

Record details

NPI number1275876849
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpokane Oms PLLC
Authorized official Renee Bancroft — Billing Manager · (509) 926-7106
NPI enumeratedApril 2, 2013
Last updated in NPPESApril 2, 2013
Mailing address12109 E Broadway Ave, Building C, Spokane Valley, WA 99206-6133

Other providers in Spokane Valley