Individual provider · Type 1 NPI
Sam Joseph Poidmore, D, D, S
Oral and Maxillofacial Surgery (Dentist) · Villa Park, CA
NPI number
1316088529
Active
Practice location
18152 Pamela Pl
Villa Park, CA 92861-2626
Fax (714) 921-9667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D-24327 (CA) |
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 1316088529
Sam Joseph Poidmore, D, D, S's National Provider Identifier is 1316088529, issued on Feb 9, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Villa Park, CA. The record was last updated on Jul 8, 2007.