Active NPI
Oral Surgery Associates Inc.
- Oral and Maxillofacial Pathology Dentistry
- Olympia, WA
National Provider Identifier
1760447122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 4068
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006680856 | Other | WA | AMERICAN DENTAL ASSOCIATI |
| 4068 | Other | WA | WASHINGTON STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.