Organization · Type 2 NPI

Southeast Missouri Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Cape Girardeau, MO

NPI number 1114217585 Active

Practice location

66 Doctors Park
Cape Girardeau, MO 63703-4928

Fax (573) 334-9004

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2003012137 (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.

3 other providers at this address

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About NPI 1114217585

Southeast Missouri Oral & Maxillofacial Surgery's National Provider Identifier is 1114217585, issued on Apr 19, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cape Girardeau, MO. The record was last updated on Apr 10, 2024.