Organization · Type 2 NPI

Midwest Oral & Maxillofacial Surgery, PA

Oral and Maxillofacial Surgery (Dentist) · Leawood, KS

NPI number 1114162104 Active

Practice location

11551 Granada Lane, 100
Leawood, KS 66211-1914

Fax (913) 491-5073

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1114162104

Midwest Oral & Maxillofacial Surgery, PA's National Provider Identifier is 1114162104, issued on Dec 5, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Leawood, KS. The record was last updated on Nov 15, 2012.