Organization · Type 2 NPI

Riverside Oral & Facial Surgery PC

Oral and Maxillofacial Surgery (Dentist) · Rome, GA

NPI number 1033434600 Active

Practice location

300 E 6th Ave
Rome, GA 30161-6000

Fax (706) 235-5238

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN010141 (GA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1033434600

Riverside Oral & Facial Surgery PC's National Provider Identifier is 1033434600, issued on Apr 7, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rome, GA. The record was last updated on Apr 7, 2010.