Organization · Type 2 NPI
The Center for Oral and Maxillofacial Surgery LLC
Oral and Maxillofacial Surgery (Dentist) · Poplar Bluff, MO
NPI number
1386763936
Active
Practice location
936 Ida St
Poplar Bluff, MO 63901-4210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12546 (MO) |
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
About NPI 1386763936
The Center for Oral and Maxillofacial Surgery LLC's National Provider Identifier is 1386763936, issued on Mar 28, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Poplar Bluff, MO. The record was last updated on Aug 22, 2020.