Northwest Arkansas Oral & Maxillofacial Surgery Pllc in Fayetteville - Oral And Maxillofacial Surgery

Northwest Arkansas Oral & Maxillofacial Surgery Pllc - NPI 1952587107

Northwest Arkansas Oral & Maxillofacial Surgery Pllc is a Oral And Maxillofacial Surgery in Fayetteville, Arkansas. Northwest Arkansas Oral & Maxillofacial Surgery Pllc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Northwest Arkansas Oral & Maxillofacial Surgery Pllc is 1952587107. The last update date is 2015-01-22.

Northwest Arkansas Oral & Maxillofacial Surgery Pllc's current location address is 163 W Van Asche Loop, Fayetteville, Arkansas. You can contact this provider via phone number 4799664004 and fax number 4799354004. The mailing address for Northwest Arkansas Oral & Maxillofacial Surgery Pllc is 163 W Van Asche Loop, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Arkansas Oral & Maxillofacial Surgery Pllc
Address 163 W Van Asche Loop, Fayetteville, Arkansas
Phone Number 4799664004
Fax Number 4799354004
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Cross Russell Joshua
Credentials DDS
Telephone Number 4799664004

NPI Number Detail

NPI Number 1952587107
Provider Enumeration Date 2008-01-18
Last Updated Date 2015-01-22

Provider Mailing Address Detail

Address 163 W Van Asche Loop
City Fayetteville
State Arkansas (AR)
Post Code 727034974
Phone Number 4799664004
Fax Number 4799354004

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 3491
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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FAQs about Northwest Arkansas Oral & Maxillofacial Surgery Pllc

What is the unique 10-digit identification code issued to Northwest Arkansas Oral & Maxillofacial Surgery Pllc by the Centers for Medicare & Medicaid Services?

The Northwest Arkansas Oral & Maxillofacial Surgery Pllc has been assigned the NPI (National Provider Identifier) 1952587107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Northwest Arkansas Oral & Maxillofacial Surgery Pllc is physically located?

The Northwest Arkansas Oral & Maxillofacial Surgery Pllc is physically situated at the following address: 163 W Van Asche Loop, Fayetteville, AR, 727034974.

What is Northwest Arkansas Oral & Maxillofacial Surgery Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Northwest Arkansas Oral & Maxillofacial Surgery Pllc is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

On what date did the Northwest Arkansas Oral & Maxillofacial Surgery Pllc receive the assignment of its 1952587107 from the Centers for Medicare & Medicaid Services?

The Northwest Arkansas Oral & Maxillofacial Surgery Pllc was issued its 1952587107 by the Centers for Medicare & Medicaid Services on 2008-01-18.

When was the information related to Northwest Arkansas Oral & Maxillofacial Surgery Pllc most recently updated or refreshed?

The details pertaining to the Northwest Arkansas Oral & Maxillofacial Surgery Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-22.

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