Organization Active NPI

Federal Way Oral Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Federal Way, WA
National Provider Identifier
1922917178
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
FEDERAL WAY ORAL SURGERY PC
Practice address
33801 1St Way S Ste 311
Federal Way, WA 98003-4548
Phone
(817) 646-0089
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Jill Dunnam
Title
Director of Operations
Phone
(817) 226-6790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

33801 1St Way S Ste 311
Federal Way, WA 98003-4548

Mailing address

33801 1St Way S Ste 311
Federal Way, WA 98003-4548
Phone (817) 646-0089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1922917178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S STE 311",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034548",
            "telephone_number": "817-646-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S STE 311",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034548",
            "telephone_number": "817-646-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL WAY ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "DUNNAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "817-226-6790"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.