OrganizationActive
South Sound Ambulatory Surgery Center, PLLC
NPI 1487183000 · Oral & Maxillofacial Surgery (D.M.D.) · Olympia, WA
Provider details
- NPI number
- 1487183000
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Parent organization
- South Sound Oral Surgery PLLC
- Authorized official
- Joseph Mulrean, Co-Owner
Practice location
3425 Ensign Rd Ne Ste 310
Olympia, WA 98506-5063
Phone: (360) 456-5678
Fax: (360) 456-1238
Mailing address
3425 Ensign Rd Ne Ste 310
Olympia, WA 98506-5063
Registry dates
- Enumerated
- 2017-06-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.