Individual provider · Type 1 NPI

Jared Louis Atwood, DDS

Oral and Maxillofacial Surgery (Dentist) · Columbia, MO

NPI number 1891006557 Active

Practice location

1000 W Nifong Blvd, Building 4, Suite 100
Columbia, MO 65203

Call (573) 443-0466 Map

Fax (573) 442-5417

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6221 (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.

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About NPI 1891006557

Jared Louis Atwood, DDS's National Provider Identifier is 1891006557, issued on Jun 28, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia, MO. The record was last updated on Jun 6, 2018.