Individual provider · Type 1 NPI
Dane St. John, MD
Oral and Maxillofacial Surgery (Dentist) · Cody, WY
NPI number
1689883589
Active
Practice location
707 Sheridan Ave
Cody, WY 82414
Fax (307) 578-2492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 27461 (AL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9197A (WY) |
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 1689883589
Dane St. John, MD's National Provider Identifier is 1689883589, issued on May 21, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cody, WY. The record was last updated on Apr 12, 2013.