Organization · Type 2 NPI
Southern de Associates of Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Frederica, DE
Practice location
126 West Front St.
Frederica, DE 19946
Fax (302) 335-2603
Mailing address
PO Box 266
Frederica, DE 19946-0266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2010600241 (DE) |
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.
About NPI 1063744795
Southern de Associates of Oral & Maxillofacial Surgery's National Provider Identifier is 1063744795, issued on Feb 5, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Frederica, DE. The record was last updated on Feb 5, 2010.