Organization · Type 2 NPI

Jefferson City Oral and Maxillofacial Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Jefferson City, MO

NPI number 1760599732 Active

Practice location

1400 Southwest Blvd, Suite C
Jefferson City, MO 65109-2490

Fax (573) 635-2646

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

4 other providers at this address

About NPI 1760599732

Jefferson City Oral and Maxillofacial Surgery, LLC's National Provider Identifier is 1760599732, issued on Aug 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jefferson City, MO. The record was last updated on Jan 31, 2008.