Jefferson City Oral And Maxillofacial Surgery, Llc in Jefferson City - Oral And Maxillofacial Surgery

Jefferson City Oral And Maxillofacial Surgery, Llc - NPI 1760599732

Jefferson City Oral And Maxillofacial Surgery, Llc is a Oral And Maxillofacial Surgery in Jefferson City, Missouri. Jefferson City Oral And Maxillofacial Surgery, Llc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jefferson City Oral And Maxillofacial Surgery, Llc is 1760599732. The last update date is 2008-01-31.

Jefferson City Oral And Maxillofacial Surgery, Llc's current location address is 1400 Southwest Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736357216 and fax number 5736352646. The mailing address for Jefferson City Oral And Maxillofacial Surgery, Llc is 1400 Southwest Blvd, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jefferson City Oral And Maxillofacial Surgery, Llc
Address 1400 Southwest Blvd, Jefferson City, Missouri
Phone Number 5736357216
Fax Number 5736352646
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Baker Kay Dana
Telephone Number 5736357216

NPI Number Detail

NPI Number 1760599732
Provider Enumeration Date 2006-08-24
Last Updated Date 2008-01-31

Provider Mailing Address Detail

Address 1400 Southwest Blvd
City Jefferson City
State Missouri (MO)
Post Code 651092490
Phone Number 5736357216
Fax Number 5736352646

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.

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FAQs about Jefferson City Oral And Maxillofacial Surgery, Llc

What is the unique identifier code issued to Jefferson City Oral And Maxillofacial Surgery, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Jefferson City Oral And Maxillofacial Surgery, Llc has been assigned the NPI (National Provider Identifier) 1760599732. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jefferson City Oral And Maxillofacial Surgery, Llc is physically located?

The Jefferson City Oral And Maxillofacial Surgery, Llc is situated at the following address: 1400 Southwest Blvd, Jefferson City, MO 651092490.

What is the Jefferson City Oral And Maxillofacial Surgery, Llc's specialty and taxonomy code?

The Jefferson City Oral And Maxillofacial Surgery, Llc's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760599732 to Jefferson City Oral And Maxillofacial Surgery, Llc?

The Centers for Medicare & Medicaid Services assigned the 1760599732 to Jefferson City Oral And Maxillofacial Surgery, Llc on 2006-08-24.

When was the information pertaining to Jefferson City Oral And Maxillofacial Surgery, Llc most recently updated or revised?

The details related to Jefferson City Oral And Maxillofacial Surgery, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-31.

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