Organization · Type 2 NPI
Mansfield Oral and Facial Surgery
Oral and Maxillofacial Surgery (Dentist) · Mansfield, TX
NPI number
1972771053
Active
Practice location
1705 Fountainview Dr #103
Mansfield, TX 76063
Fax (817) 453-4416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | L9710 (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.
Other oral and maxillofacial surgery (dentist) providers in Mansfield
About NPI 1972771053
Mansfield Oral and Facial Surgery's National Provider Identifier is 1972771053, issued on Feb 12, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mansfield, TX. The record was last updated on Feb 12, 2008.