Condon Dental Services Ps INC

Dentist, General Practice in Spokane, WA. Organization (NPI-2).

NPI number1760655716

StatusActive

Last updated in NPPESJul 16, 2008

Details

NPI: 1760655716
Entity type: Organization (NPI-2)
Legal business name: Condon Dental Services Ps INC
Organization subpart: No
Enumeration date: Apr 10, 2008
Last updated: Jul 16, 2008

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	–	WA	Yes

Other names

Northwest Dental Services (Doing Business As)

Practice location

5901 N Lidgerwood
Suite 233
Spokane, WA 99208

Phone 509-489-4763 · Fax 509-489-4767

Mailing address

5901 N Lidgerwood
Suite 233
Spokane, WA 99208

Phone 509-489-4763 · Fax 509-489-4767

Authorized official

Michael P Condon
Owner
5099265272

Is something wrong?

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Other General Practice Dentistry providers in Spokane, WA

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