# MARK C PAXTON, D.D.S, P.S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spokane Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023409877
- **Authorized official:** MRS. RENEE KRISTEN BANCROFT (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** 50989393635

## Contact information

- **Practice address:** 12109 E BROADWAY AVE, BLDG C, SPOKANE VALLEY, WA 99206-6133
- **Practice address phone:** (509) 893-3635
- **Practice address fax:** (509) 926-2833
- **Mailing address:** 12109 E BROADWAY AVE, BLDG C, SPOKANE VALLEY, WA 99206-6133
- **Mailing address phone:** (509) 893-3635
- **Mailing address fax:** (509) 926-2833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D5470 | WA | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015