Organization · Type 2 NPI

Northwest Missouri Oral & Maxillofacial Surgeons

Oral and Maxillofacial Surgery (Dentist) · St. Joseph, MO

NPI number 1154485613 Active

Practice location

3109 Frederick Ave Ste A
St. Joseph, MO 64506-3073

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 1154485613

Northwest Missouri Oral & Maxillofacial Surgeons's National Provider Identifier is 1154485613, issued on Dec 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Joseph, MO. The record was last updated on Sep 21, 2016.