Organization Active NPI

Oral Surgery Associates Inc.

  • Oral and Maxillofacial Pathology Dentistry
  • Olympia, WA
National Provider Identifier
1760447122
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
4068 Issued in WA
Legal business name
ORAL SURGERY ASSOCIATES INC.
Practice address
3924 Martin Way E
Olympia, WA 98506-5220
Phone
(360) 456-8610
Fax
(360) 493-8179
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Gerald George Dolgash, DDS
Title
President
Phone
(360) 456-8610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 4068 WA Primary

Addresses

Primary practice location

3924 Martin Way E
Olympia, WA 98506-5220

Mailing address

3924 Martin Way E
Olympia, WA 98506-5220
Phone (360) 456-8610

Other identifiers 2

IdentifierTypeStateIssuer
006680856OtherWAAMERICAN DENTAL ASSOCIATI
4068OtherWAWASHINGTON STATE LICENSE

National Provider Directory

National Provider Directory

Locations

400 Lilly Rd NE
Ste 12
Olympia, WA 98506
Phone (360) 456-8610

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760447122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065220",
            "telephone_number": "360-456-8610",
            "fax_number": "360-493-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065220",
            "telephone_number": "360-456-8610",
            "fax_number": "360-493-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DOLGASH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-456-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WA",
            "license": "4068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DENTAL ASSOCIATI",
            "identifier": "006680856",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "4068",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.