Northwest Maxillofacial and Cosmetic Surgery Associates PS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

MD60383921 Issued in WA

Legal business name

NORTHWEST MAXILLOFACIAL AND COSMETIC SURGERY ASSOCIATES PS

Practice address

6505 226TH PL SE Ste 100
Issaquah, WA 98027-8905

Phone

(425) 332-5333

Fax

(425) 332-5332

NPI assigned

Apr 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hardeep S Dhaliwal, DMD, MDNPI 1811163611

Title

Owner / Surgeon

Phone

(425) 332-5333

Specialties & licenses 1

Addresses

Other names 1

• Adara Surgical Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hardeep Dhaliwal, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Issaquah, WA
  • NPI 1811163611
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1083148308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 226TH PL SE STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278905",
            "telephone_number": "425-332-5333",
            "fax_number": "425-332-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 226TH PL SE STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278905",
            "telephone_number": "425-332-5333",
            "fax_number": "425-332-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MAXILLOFACIAL AND COSMETIC SURGERY ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "HARDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / SURGEON",
        "authorized_official_telephone_number": "425-332-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "MD60383921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adara Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Ann Norman, L.M.H.C.
• Katherine Norris, LMT
• Northland Hearing Centers, Inc.
• Northwest Asthma & Allergy Center
• Northwest Care-Issaquah, Inc.
• Northwest Pediatric Therapies, PS
• Nourishthrive, LLC
• Alison Novosel
• Summer Jo Nowicki, N.D.
• Allison Kathryn Nunn, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.