Organization · Type 2 NPI
Modelevsky DDS PA
Oral and Maxillofacial Surgery Clinic/Center · Jonesboro, AR
NPI number
1922267657
Active
Practice location
906 Osler Dr
Jonesboro, AR 72401-4366
Fax (870) 972-5451
Mailing address
PO Box 1920
Jonesboro, AR 72403-1920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 2302 (AR) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
Other oral and maxillofacial surgery clinic/center providers in Jonesboro
About NPI 1922267657
Modelevsky DDS PA's National Provider Identifier is 1922267657, issued on Jun 6, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Jonesboro, AR. The record was last updated on Jun 19, 2012.