Individual provider · Type 1 NPI
Troy Andre Van Der Groen, DMD
Oral and Maxillofacial Surgery (Dentist) · Lemoore, CA
NPI number
1700352903
Active
Practice location
937 Franklin Blvd
Lemoore, CA 93246-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 0401416283 (VA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401416283 (VA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 108610 (CA) |
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 1700352903
Troy Andre Van Der Groen, DMD's National Provider Identifier is 1700352903, issued on Oct 16, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lemoore, CA. The record was last updated on Nov 21, 2023.