OrganizationActive
Spokane Oms
NPI 1497789820 · Oral and Maxillofacial Surgery (Dentist) · Spokane Valley, WA
Provider details
- NPI number
- 1497789820
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Marla Telin, Coo(509) 926-7106
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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 Avenue Suite C
Spokane Valley, WA 99206-6133
Phone: (509) 926-7106
Fax: (509) 926-2833
Street-level locationGet directions
Mailing address
12109 E Broadway Ave Ste C
Spokane Valley, WA 99206-6133
Other names (DBA / former)
- Other name
- Spokane Oral & Maxillofacial Surgery
Registry dates
- Enumerated
- 2006-07-10
- 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.