Individual provider · Type 1 NPI

John Max Crestetto, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Rocky Mount, NC

NPI number 1063597375 Active

Practice location

901 N Winstead Ave, Suite 130
Rocky Mount, NC 27804-8467

Fax (252) 937-2381

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6759 (NC)

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 1063597375

John Max Crestetto, DDS, MD's National Provider Identifier is 1063597375, issued on Oct 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rocky Mount, NC. The record was last updated on Feb 20, 2012.