Oral Surgery Center Pc in Norfolk - Oral And Maxillofacial Surgery

Oral Surgery Center Pc - NPI 1053598854

Oral Surgery Center Pc is a Oral And Maxillofacial Surgery in Norfolk, Nebraska. Oral Surgery Center Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral Surgery Center Pc is 1053598854. The last update date is 2008-04-20.

Oral Surgery Center Pc's current location address is 2501 Lakeridge Dr, Norfolk, Nebraska. You can contact this provider via phone number 4026444452 and fax number 4026444454. The mailing address for Oral Surgery Center Pc is 2501 Lakeridge Dr, Norfolk, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oral Surgery Center Pc
Address 2501 Lakeridge Dr, Norfolk, Nebraska
Phone Number 4026444452
Fax Number 4026444454
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Flower Alan Gary
Credentials DMD
Telephone Number 4026444452

NPI Number Detail

NPI Number 1053598854
Provider Enumeration Date 2008-01-24
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 2501 Lakeridge Dr
City Norfolk
State Nebraska (NE)
Post Code 68701
Phone Number 4026444452
Fax Number 4026444454

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 Oral Surgery Center Pc

What is the unique identifier code issued to Oral Surgery Center Pc by the Centers for Medicare & Medicaid Services?

The Oral Surgery Center Pc has been assigned the NPI (National Provider Identifier) 1053598854. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Oral Surgery Center Pc?

The Oral Surgery Center Pc is physically situated at 2501 Lakeridge Dr, in the city of Norfolk, state of NE, with the postal code 68701.

What is Oral Surgery Center Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Oral Surgery Center Pc 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 originally issue the 1053598854 to Oral Surgery Center Pc?

The Centers for Medicare & Medicaid Services originally issued the 1053598854 to Oral Surgery Center Pc on 2008-01-24.

As of what date were the Oral Surgery Center Pc's details last updated?

The information pertaining to the Oral Surgery Center Pc, including its address, specialty, and other details, was most recently updated on 2008-04-20.

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