Individual provider · Type 1 NPI
Marcus Brian Tanabe, DDS
Oral and Maxillofacial Surgery (Dentist) · Grand Forks, ND
NPI number
1336368240
Active
Practice location
1165 S Columbia Rd Ste C
Grand Forks, ND 58201-4007
Fax (701) 772-9643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1950 (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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Grand Forks
About NPI 1336368240
Marcus Brian Tanabe, DDS's National Provider Identifier is 1336368240, issued on Apr 25, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grand Forks, ND. The record was last updated on Oct 31, 2013.