Organization · Type 2 NPI

Advanced Oral Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Council Bluffs, IA

NPI number 1154970655 Active

Practice location

3265 S 24th St
Council Bluffs, IA 51501-6901

Mailing address

5040 S 153rd St
Omaha, NE 68137-5067

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 1154970655

Advanced Oral Surgery, PLLC's National Provider Identifier is 1154970655, issued on Sep 6, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Council Bluffs, IA. The record was last updated on Sep 6, 2019.