Individual provider · Type 1 NPI

Giovanni A. Safdari, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Fort Leonard Wood, MO

NPI number 1053574517 Active

Practice location

1724 Nebraska Ave, Usa Dentac
Fort Leonard Wood, MO 65473

Fax (573) 596-0410

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2008019427 (MO)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2008019427 (MO)

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 1053574517

Giovanni A. Safdari, MD, DDS's National Provider Identifier is 1053574517, issued on Jul 4, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jul 16, 2015.