Organization · Type 2 NPI
Red River Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · Denison, TX
NPI number
1770134876
Active
Practice location
4616 Highway 75, Suite 201
Denison, TX 75020
Mailing address
4616 US Hwy 75 # 201
Denison, TX 75020-4582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
About NPI 1770134876
Red River Oral Surgery's National Provider Identifier is 1770134876, issued on Sep 20, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Denison, TX. The record was last updated on Nov 4, 2020.