Individual provider · Type 1 NPI

James Vance Park Ii

Oral and Maxillofacial Surgery (Dentist) · Houston, TX

NPI number 1922632876 Active

Practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Call (713) 791-1414 Map

Mailing address

332 Westside Dr
Iowa City, IA 52246-4352

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XSTUDENT (TX)

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 1922632876

James Vance Park Ii's National Provider Identifier is 1922632876, issued on Mar 1, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Houston, TX. The record was last updated on Mar 1, 2020.