Oral And Maxillofacial Surgical Associates in Virginia - Oral And Maxillofacial Surgery
Oral And Maxillofacial Surgical Associates - NPI 1417042367
Oral And Maxillofacial Surgical Associates is a Oral And Maxillofacial Surgery in Virginia, Minnesota. Oral And Maxillofacial Surgical Associates practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral And Maxillofacial Surgical Associates is 1417042367. The last update date is 2014-09-04.
Oral And Maxillofacial Surgical Associates's current location address is 214 North Fifth Avenue, Virginia, Minnesota. You can contact this provider via phone number 2187410894 and fax number 2187414140. The mailing address for Oral And Maxillofacial Surgical Associates is 214 North Fifth Avenue, Virginia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral And Maxillofacial Surgical Associates |
|---|---|
| Address | 214 North Fifth Avenue, Virginia, Minnesota |
| Phone Number | 2187410894 |
| Fax Number | 2187414140 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Hodapp Kevin Paul |
| Credentials | DDS |
| Telephone Number | 2187221854 |
NPI Number Detail
| NPI Number | 1417042367 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2014-09-04 |
Provider Mailing Address Detail
| Address | 214 North Fifth Avenue |
|---|---|
| City | Virginia |
| State | Minnesota (MN) |
| Post Code | 55792 |
| Phone Number | 2187410894 |
| Fax Number | 2187414140 |
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 |
|---|---|---|---|
| 208722700 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Oral And Maxillofacial Surgical Associates by the Centers for Medicare & Medicaid Services?
The Oral And Maxillofacial Surgical Associates has been assigned the NPI (National Provider Identifier) 1417042367 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Oral And Maxillofacial Surgical Associates located?
The Oral And Maxillofacial Surgical Associates is located at 214 North Fifth Avenue, Virginia, MN 55792.
What is Oral And Maxillofacial Surgical Associates's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Oral And Maxillofacial Surgical Associates's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417042367 to Oral And Maxillofacial Surgical Associates?
The Centers for Medicare & Medicaid Services assigned the 1417042367 to Oral And Maxillofacial Surgical Associates on 2006-10-04.
As of what date were the details related to Oral And Maxillofacial Surgical Associates most recently updated or revised?
The information pertaining to Oral And Maxillofacial Surgical Associates, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-04.
NPI Number: 1720081763
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