Organization · Type 2 NPI
Midwest Oral and Maxillofacial Surgery P C
Oral and Maxillofacial Surgery (Dentist) · Columbia City, IN
Practice location
516 N Line St
Columbia City, IN 46725-1230
Mailing address
3303 Trier Rd
Fort Wayne, IN 46815-4768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 54000677 (IN) |
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 1467507798
Midwest Oral and Maxillofacial Surgery P C's National Provider Identifier is 1467507798, issued on Jan 25, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia City, IN. The record was last updated on Mar 26, 2009.