Organization · Type 2 NPI
Oral and Facial Surgery Center of Prescott
Oral and Maxillofacial Surgery (Dentist) · Prescott, AZ
NPI number
1275925265
Active
Practice location
5415 Distiction Way
Prescott, AZ 86301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 8911 (AZ) |
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 1275925265
Oral and Facial Surgery Center of Prescott's National Provider Identifier is 1275925265, issued on Feb 27, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Prescott, AZ. The record was last updated on Jul 23, 2015.