John Max Crestetto in Rocky Mount - Oral And Maxillofacial Surgery
John Max Crestetto - NPI 1063597375
John Max Crestetto is a Oral And Maxillofacial Surgery in Rocky Mount, North Carolina. John Max Crestetto practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Max Crestetto is 1063597375. The last update date is 2012-02-20.
John Max Crestetto's current location address is 901 N Winstead Ave, Rocky Mount, North Carolina. You can contact this provider via phone number 2524437331 and fax number 2529372381. The mailing address for John Max Crestetto is 901 N Winstead Ave, Rocky Mount, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Max Crestetto |
|---|---|
| Address | 901 N Winstead Ave, Rocky Mount, North Carolina |
| Phone Number | 2524437331 |
| Fax Number | 2529372381 |
| Sole Proprietor | N |
| Credentials | DDS,MD |
NPI Number Detail
| NPI Number | 1063597375 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2012-02-20 |
Provider Mailing Address Detail
| Address | 901 N Winstead Ave |
|---|---|
| City | Rocky Mount |
| State | North Carolina (NC) |
| Post Code | 278048467 |
| Phone Number | 2524437331 |
| Fax Number | 2529372381 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6759 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0102X | NC | -- | |
| 8990023 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Max Crestetto by the Centers for Medicare & Medicaid Services (CMS)?
The John Max Crestetto has been assigned the NPI (National Provider Identifier) 1063597375. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of John Max Crestetto?
The John Max Crestetto is physically situated at 901 N Winstead Ave, in the city of Rocky Mount, state of NC, with the postal code 278048467.
What is John Max Crestetto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Max Crestetto is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date was the 1063597375 assigned to John Max Crestetto?
The John Max Crestetto was issued its 1063597375 on 2006-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Max Crestetto last refreshed?
The information related to the John Max Crestetto, including its address, specialty, and other relevant details, was last updated on 2012-02-20.