Individual provider · Type 1 NPI
Gustavo Lawrence Govin Iii, DDS MS
Oral and Maxillofacial Surgery (Dentist) · Shawnee, OK
NPI number
1710093570
Active
Practice location
18 Dunloup
Shawnee, OK 74804
Fax (405) 275-4292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3739 (OK) |
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.
About NPI 1710093570
Gustavo Lawrence Govin Iii, DDS MS's National Provider Identifier is 1710093570, issued on Aug 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Shawnee, OK. The record was last updated on Jul 8, 2007.