Provider Demographics
NPI:1851467104
Name:EDWARD K. SAFFER, DMD AND JASON E. KOLASHINSKI, DDS
Entity Type:Organization
Organization Name:EDWARD K. SAFFER, DMD AND JASON E. KOLASHINSKI, DDS
Other - Org Name:ASH AND ROWAN FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAYLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-325-1886
Mailing Address - Street 1:5528 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6802
Mailing Address - Country:US
Mailing Address - Phone:509-325-1886
Mailing Address - Fax:
Practice Address - Street 1:5528 N ASH ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6802
Practice Address - Country:US
Practice Address - Phone:509-325-1886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000069681223G0001X
WADE000066461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty