Organization · Type 2 NPI

Card Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Leavenworth, KS

NPI number 1225440696 Active

Practice location

3550 S 4th St, Suite 240
Leavenworth, KS 66048-5071

Fax (913) 772-0851

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X60935 (KS)

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.

16 other providers at this address

About NPI 1225440696

Card Oral and Maxillofacial Surgery's National Provider Identifier is 1225440696, issued on May 20, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Leavenworth, KS. The record was last updated on May 20, 2014.