Provider Demographics
NPI:1053746347
Name:PIONEER SPECIALTY SERVICES, PLLC
Entity type:Organization
Organization Name:PIONEER SPECIALTY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVJOT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:KHURANA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:509-837-2731
Mailing Address - Street 1:110 W YAKIMA VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1352
Mailing Address - Country:US
Mailing Address - Phone:509-837-2731
Mailing Address - Fax:509-837-2202
Practice Address - Street 1:110 W YAKIMA VALLEY HWY
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1352
Practice Address - Country:US
Practice Address - Phone:509-837-2731
Practice Address - Fax:509-837-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600951171223E0200X
WADE000099371223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty