Individual provider · Type 1 NPI

Mohamed A. Ganni, DMD

Oral and Maxillofacial Surgery (Dentist) · Beaumont, TX

NPI number 1679679666 Active

Practice location

3302 Mcfaddin St, Suite 4
Beaumont, TX 77706-5038

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X051852 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X24769 (TX)

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 1679679666

Mohamed A. Ganni, DMD's National Provider Identifier is 1679679666, issued on Sep 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Beaumont, TX. The record was last updated on Aug 7, 2009.