Organization · Type 2 NPI
Implant&maxillofacial Surgical Center
Oral and Maxillofacial Surgery (Dentist) · Williston, ND
NPI number
1255759650
Active
Practice location
2224 1st Ave W Ste 2
Williston, ND 58801-6286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1993 (ND) |
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.
About NPI 1255759650
Implant&maxillofacial Surgical Center's National Provider Identifier is 1255759650, issued on Apr 2, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Williston, ND. The record was last updated on Apr 2, 2014.