Oral Surgery Ltd in Phoenix - Oral And Maxillofacial Surgery
Oral Surgery Ltd - NPI 1255421897
Oral Surgery Ltd is a Oral And Maxillofacial Surgery in Phoenix, Arizona. Oral Surgery Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral Surgery Ltd is 1255421897. The last update date is 2020-08-22.
Oral Surgery Ltd's current location address is 1277 E Missouri Ave, Phoenix, Arizona. You can contact this provider via phone number 6022488745 and fax number 6022487939. The mailing address for Oral Surgery Ltd is 1277 E Missouri Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Oral Surgery Ltd |
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Address | 1277 E Missouri Ave, Phoenix, Arizona |
Phone Number | 6022488745 |
Fax Number | 6022487939 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Raddatz Robert Lee |
Credentials | DDS |
Telephone Number | 6022488745 |
NPI Number Detail
NPI Number | 1255421897 |
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Provider Enumeration Date | 2006-10-13 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1277 E Missouri Ave |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850142915 |
Phone Number | 6022488745 |
Fax Number | 6022487939 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 1421 |
Definition: 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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What is the unique identification code assigned to Oral Surgery Ltd by the Centers for Medicare & Medicaid Services?
The Oral Surgery Ltd has been issued the NPI (National Provider Identifier) 1255421897. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Oral Surgery Ltd is located?
The Oral Surgery Ltd is situated at the following address: 1277 E Missouri Ave, Phoenix, AZ, 850142915.
What is Oral Surgery Ltd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Oral Surgery Ltd is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Oral Surgery Ltd receive its 1255421897 assignment from the Centers for Medicare & Medicaid Services?
The Oral Surgery Ltd was assigned its 1255421897 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Oral Surgery Ltd's details last updated?
The information pertaining to the Oral Surgery Ltd, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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