# NICHOLAS RAKLIOS, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NICHOLAS RAKLIOS, DDS, PLLC
- **Other names:** Timberline Oral Surgery & Dental Implants
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225922123
- **Legal business name:** NICHOLAS RAKLIOS, DDS, PLLC
- **Authorized official:** CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
- **Authorized official phone:** (623) 267-8121

## Contact information

- **Practice address:** 2807 S STONE ST STE 202, SPOKANE, WA 99223-4904
- **Practice address phone:** (623) 267-8121
- **Mailing address:** 2807 S STONE ST STE 202, SPOKANE, WA 99223-4904
- **Mailing address phone:** (623) 267-8121

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2025
- **Last updated:** 06/05/2025