Individual provider · Type 1 NPI
Paul J. Tiernan, DDS
Oral and Maxillofacial Surgery (Dentist) · Santa Rosa, CA
NPI number
1942309877
Active
Practice location
30 Doctors Park Dr
Santa Rosa, CA 95405-6615
Fax (707) 546-3123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DA035787 (CA) |
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 1942309877
Paul J. Tiernan, DDS's National Provider Identifier is 1942309877, issued on Sep 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.