3D Maxillofacial Imaging, PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

3D MAXILLOFACIAL IMAGING, PLLC

Doing business as

3D Maxillofacial Imaging

Practice address

213 S 2ND Ave
Walla Walla, WA 99362-3002

Phone

(509) 529-4111

Fax

(509) 526-5295

NPI assigned

Nov 21, 2011

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nannette Goyer, DDS

Title

Owner/Dentist

Phone

(509) 529-4111

Specialties & licenses 1

Addresses

Other names 1

• 3D Maxillofacial Imaging Doing business as

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1366719254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623002",
            "telephone_number": "509-529-4111",
            "fax_number": "509-526-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623002",
            "telephone_number": "509-529-4111",
            "fax_number": "509-526-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D MAXILLOFACIAL IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "GOYER",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-529-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3D Maxillofacial Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.