Individual provider · Type 1 NPI

Michael Stern, D.M.D, PhD

Oral and Maxillofacial Surgery (Dentist) · Jackson, WY

NPI number 1083852149 Active

Practice location

1160 Alpine Ln, Suite 1D
Jackson, WY 83001

Fax (307) 739-8613

Mailing address

PO Box 9339
Jackson, WY 83002-9339

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1037 (WY)

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 1083852149

Michael Stern, D.M.D, PhD's National Provider Identifier is 1083852149, issued on Jan 28, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson, WY. The record was last updated on Jan 28, 2009.