Organization · Type 2 NPI
Alpha Dental
Oral and Maxillofacial Surgery (Dentist) · Logan, OH
NPI number
1265740625
Active
Practice location
12906 State Route 664 S, Suite A7
Logan, OH 43138-9260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
Another provider at this address
About NPI 1265740625
Alpha Dental's National Provider Identifier is 1265740625, issued on Sep 20, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Logan, OH. The record was last updated on Nov 22, 2010.