Amarillo Oral Surgery, Llc in Amarillo - Oral And Maxillofacial Surgery

Amarillo Oral Surgery, Llc - NPI 1053584425

Amarillo Oral Surgery, Llc is a Oral And Maxillofacial Surgery in Amarillo, Texas. Amarillo Oral Surgery, Llc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Amarillo Oral Surgery, Llc is 1053584425. The last update date is 2016-03-03.

Amarillo Oral Surgery, Llc's current location address is 5051 S. Soncy Rd, Amarillo, Texas. You can contact this provider via phone number 8063531055 and fax number 8063537077. The mailing address for Amarillo Oral Surgery, Llc is 5051 S. Soncy Rd, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Amarillo Oral Surgery, Llc
Address 5051 S. Soncy Rd, Amarillo, Texas
Phone Number 8063531055
Fax Number 8063537077
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DOCT
Authorized Official Name Graves Edward William
Credentials DMD
Telephone Number 8063531055

NPI Number Detail

NPI Number 1053584425
Provider Enumeration Date 2008-04-08
Last Updated Date 2016-03-03

Provider Mailing Address Detail

Address 5051 S. Soncy Rd
City Amarillo
State Texas (TX)
Post Code 79119
Phone Number 8063531055
Fax Number 8063537077

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 23648
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 Amarillo Oral Surgery, Llc

What is the unique 10-digit identifier code assigned to Amarillo Oral Surgery, Llc by the Centers for Medicare & Medicaid Services?

The Amarillo Oral Surgery, Llc has been issued the NPI (National Provider Identifier) 1053584425 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Amarillo Oral Surgery, Llc's facilities are geographically located?

The facilities of Amarillo Oral Surgery, Llc are physically situated at the following location: 5051 S. Soncy Rd, Amarillo, TX, 79119.

What is Amarillo Oral Surgery, Llc's area of expertise and its corresponding taxonomy classification?

The Amarillo Oral Surgery, Llc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.

On what date did the Amarillo Oral Surgery, Llc receive the assignment of its 1053584425 from the Centers for Medicare & Medicaid Services?

The Amarillo Oral Surgery, Llc was issued its 1053584425 by the Centers for Medicare & Medicaid Services on 2008-04-08.

When was the information pertaining to Amarillo Oral Surgery, Llc most recently updated or revised?

The details related to Amarillo Oral Surgery, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2016-03-03.

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