# WASHINGTONORALMAXILLOFACIALSURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184944001
- **Authorized official:** DR. JAE Y HONG DDS (OWNER)
- **Authorized official phone:** (425) 356-3000

## Contact information

- **Practice address:** 5929 EVERGREEN WAY, 300, EVERETT, WA 98203-6031
- **Practice address phone:** (425) 356-3000
- **Practice address fax:** (452) 535-6316
- **Mailing address:** 5929 EVERGREEN WAY, 300, EVERETT, WA 98203-6031
- **Mailing address phone:** (425) 356-3000
- **Mailing address fax:** (452) 535-6316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE8227 | WA | Yes |

## Other

- **Enumeration date:** 06/02/2010
- **Last updated:** 06/02/2010