# THE GREENAWALT DHALIWAL LLP

> 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
- **Other names:** Kitsap OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467655548
- **Authorized official:** DR. PAUL B GREENAWAIT DDS (PARTNER)
- **Authorized official phone:** (360) 698-9335

## Contact information

- **Practice address:** 19503 7TH AVE NE, POULSBO, WA 98370
- **Practice address phone:** (360) 779-2339
- **Practice address fax:** (360) 779-6475
- **Mailing address:** PO BOX 3770, SILVERDALE, WA 98383
- **Mailing address phone:** (360) 698-9335
- **Mailing address fax:** (360) 698-9385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8080 | WA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | WA | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 02/13/2017