OrganizationActive
Spokane Oral and Maxillofacial Surgery Asc
NPI 1275876849 · Oral and Maxillofacial Surgery Clinic/Center · Spokane Valley, WA
Provider details
- NPI number
- 1275876849
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Spokane Oms PLLC
- Organization subpart
- Yes
- Authorized official
- Renee Bancroft, Billing Manager(509) 926-7106
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12109 E Broadway Ave
Building C
Spokane Valley, WA 99206-6133
Phone: (509) 926-7106
Fax: (509) 926-2833
Street-level locationGet directions
Mailing address
12109 E Broadway Ave
Spokane Valley, WA 99206-6133
Registry dates
- Enumerated
- 2013-04-02
- Last updated
- 2013-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.