Organization · Type 2 NPI
Jeffrey R. Prinsell, Dmd, Md, P.c.
Oral and Maxillofacial Surgery Clinic/Center · Marietta, GA
NPI number
1164449898
Active
Practice location
1950 Spectrum Cir SE Ste B300
Marietta, GA 30067-1657
Fax (770) 956-9879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | DN 010735 (GA) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
About NPI 1164449898
Jeffrey R. Prinsell, Dmd, Md, P.c.'s National Provider Identifier is 1164449898, issued on Jul 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Marietta, GA. The record was last updated on Aug 22, 2020.