Organization · Type 2 NPI
Implants and Oral Surgery, PC
Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
NPI number
1699155507
Active
Practice location
7217 Hawkins View Dr Ste 200
Fort Worth, TX 76132-3928
Fax (817) 292-1743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 21107 (TX) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 23154 (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 1699155507
Implants and Oral Surgery, PC's National Provider Identifier is 1699155507, issued on Jun 5, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 15, 2015.