Individual provider · Type 1 NPI
Jan Andrew Kooning, DMD PC
Oral and Maxillofacial Surgery (Dentist) · Portland, OR
NPI number
1770599144
Active
Practice location
3549 N Lombard
Portland, OR 97217-5901
Fax (503) 289-2930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D6081 (OR) |
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.
Another provider at this address
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About NPI 1770599144
Jan Andrew Kooning, DMD PC's National Provider Identifier is 1770599144, issued on Jul 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.