The Regional Center For Oral & Maxillofacial Surgery, Pc in Johnson City - Oral And Maxillofacial Surgery
The Regional Center For Oral & Maxillofacial Surgery, Pc - NPI 1427163666
The Regional Center For Oral & Maxillofacial Surgery, Pc is a Oral And Maxillofacial Surgery in Johnson City, Tennessee. The Regional Center For Oral & Maxillofacial Surgery, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for The Regional Center For Oral & Maxillofacial Surgery, Pc is 1427163666. The last update date is 2020-08-22.
The Regional Center For Oral & Maxillofacial Surgery, Pc's current location address is 1021 W Oakland Ave, Johnson City, Tennessee. You can contact this provider via phone number 4232834555 and fax number 4232833044. The mailing address for The Regional Center For Oral & Maxillofacial Surgery, Pc is 1021 W Oakland Ave, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Regional Center For Oral & Maxillofacial Surgery, Pc |
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Address | 1021 W Oakland Ave, Johnson City, Tennessee |
Phone Number | 4232834555 |
Fax Number | 4232833044 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Witkowski Edward Charles |
Credentials | DDS |
Telephone Number | 4232834555 |
NPI Number Detail
NPI Number | 1427163666 |
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Provider Enumeration Date | 2006-08-20 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1021 W Oakland Ave |
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City | Johnson City |
State | Tennessee (TN) |
Post Code | 376042191 |
Phone Number | 4232834555 |
Fax Number | 4232833044 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | DS004426 |
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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What is the unique identifier code issued to The Regional Center For Oral & Maxillofacial Surgery, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The The Regional Center For Oral & Maxillofacial Surgery, Pc has been assigned the NPI (National Provider Identifier) 1427163666. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the The Regional Center For Oral & Maxillofacial Surgery, Pc's physical address?
The The Regional Center For Oral & Maxillofacial Surgery, Pc is physically located at 1021 W Oakland Ave, in the city of Johnson City, TN, with the postal code 376042191.
What is The Regional Center For Oral & Maxillofacial Surgery, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Regional Center For Oral & Maxillofacial Surgery, 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 issue the 1427163666 to The Regional Center For Oral & Maxillofacial Surgery, Pc?
The The Regional Center For Oral & Maxillofacial Surgery, Pc received its 1427163666 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date was the information regarding The Regional Center For Oral & Maxillofacial Surgery, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Regional Center For Oral & Maxillofacial Surgery, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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