Organization · Type 2 NPI

Rio Rancho Oral and Maxillofacial Surgery PC

Oral and Maxillofacial Surgery Clinic/Center · Rio Rancho, NM

NPI number 1245533439 Active

Practice location

1316 Jackie Road SE, Suite 600
Rio Rancho, NM 87124-6606

Fax (505) 994-1925

Mailing address

P.o. Box 45895
Rio Rancho, NM 87174-5895

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XDD1538 (NM)

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 1245533439

Rio Rancho Oral and Maxillofacial Surgery PC's National Provider Identifier is 1245533439, issued on Dec 10, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Rio Rancho, NM. The record was last updated on Nov 29, 2018.