Organization · Type 2 NPI

Curators of the University of Missouri

Oral and Maxillofacial Surgery (Dentist) · Columbia, MO

NPI number 1235697913 Active

Practice location

3301 Berrywood Dr
Columbia, MO 65201-6517

Call (573) 884-6253 Map

Fax (573) 875-9150

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

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 1235697913

Curators of the University of Missouri's National Provider Identifier is 1235697913, issued on Mar 12, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia, MO. The record was last updated on Mar 12, 2019.