Organization · Type 2 NPI

Dover Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Dover, DE

NPI number 1619102811 Active

Practice location

712 S Governors Ave
Dover, DE 19904-4106

Mailing address

3450 Wayne Ave Apt 28M
Bronx, NY 10467-2554

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XG1-0001269 (DE)

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.

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About NPI 1619102811

Dover Oral and Maxillofacial Surgery's National Provider Identifier is 1619102811, issued on May 18, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dover, DE. The record was last updated on May 18, 2009.