Organization · Type 2 NPI
Southern de Oral and Maxillofacial Surgery Associates, PA
Oral and Maxillofacial Surgery (Dentist) · Lewes, DE
NPI number
1629144589
Active
Practice location
17605 Nassau Commons Blvd Ste C
Lewes, DE 19958-6284
Fax (302) 645-7561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2000106563 (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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Lewes
About NPI 1629144589
Southern de Oral and Maxillofacial Surgery Associates, PA's National Provider Identifier is 1629144589, issued on Nov 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lewes, DE. The record was last updated on Jun 3, 2022.