Associates In Oral And Maxillofacial Surgery, P.A. in Mankato - Oral And Maxillofacial Surgery
Associates In Oral And Maxillofacial Surgery, P.A. - NPI 1578596177
Associates In Oral And Maxillofacial Surgery, P.A. is a Oral And Maxillofacial Surgery in Mankato, Minnesota. Associates In Oral And Maxillofacial Surgery, P.A. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Associates In Oral And Maxillofacial Surgery, P.A. is 1578596177. The last update date is 2020-08-22.
Associates In Oral And Maxillofacial Surgery, P.A.'s current location address is 1990 Premiere Dr, Mankato, Minnesota. You can contact this provider via phone number 5076259330 and fax number 5076251440. The mailing address for Associates In Oral And Maxillofacial Surgery, P.A. is 1990 Premiere Dr, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Associates In Oral And Maxillofacial Surgery, P.A. |
|---|---|
| Address | 1990 Premiere Dr, Mankato, Minnesota |
| Phone Number | 5076259330 |
| Fax Number | 5076251440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Urban Jo Kimberly |
| Credentials | R.D.A. |
| Telephone Number | 5076259330 |
NPI Number Detail
| NPI Number | 1578596177 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1990 Premiere Dr |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560015900 |
| Phone Number | 5076259330 |
| Fax Number | 5076251440 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 06D38MA | MN | BLUE CROSS # |
Post Comment/ Review Below
What is the Associates In Oral And Maxillofacial Surgery, P.A.'s 1578596177?
The Associates In Oral And Maxillofacial Surgery, P.A.'s NPI (National Provider Identifier) Number is 1578596177. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Associates In Oral And Maxillofacial Surgery, P.A. is physically located?
The Associates In Oral And Maxillofacial Surgery, P.A. is situated at the following address: 1990 Premiere Dr, Mankato, MN 560015900.
What is Associates In Oral And Maxillofacial Surgery, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Associates In Oral And Maxillofacial Surgery, P.A. is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578596177 to Associates In Oral And Maxillofacial Surgery, P.A.?
The Associates In Oral And Maxillofacial Surgery, P.A. received its 1578596177 assignment from the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date were the details related to Associates In Oral And Maxillofacial Surgery, P.A. most recently updated or revised?
The information pertaining to Associates In Oral And Maxillofacial Surgery, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.