# SOUND ORAL & MAXILLOFACIAL SURGERY

> 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:** 1396815221
- **Authorized official:** ROBERT TODD ERICKSON D.D.S. (OFFICER)
- **Authorized official phone:** (253) 564-1000

## Contact information

- **Practice address:** 1628 S MILDRED ST, SUITE 210, TACOMA, WA 98465-1627
- **Practice address phone:** (253) 564-1000
- **Practice address fax:** (253) 564-0102
- **Mailing address:** 1628 S. MILDRED ST., SUITE 210, TACOMA, WA 98465
- **Mailing address phone:** (253) 564-1000
- **Mailing address fax:** (253) 564-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE6354 | WA | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020