Oral & Maxillofacial Surgery Of Tyler, Pc in Tyler - Oral And Maxillofacial Surgery
Oral & Maxillofacial Surgery Of Tyler, Pc - NPI 1154493922
Oral & Maxillofacial Surgery Of Tyler, Pc is a Oral And Maxillofacial Surgery in Tyler, Texas. Oral & Maxillofacial Surgery Of Tyler, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral & Maxillofacial Surgery Of Tyler, Pc is 1154493922. The last update date is 2008-07-16.
Oral & Maxillofacial Surgery Of Tyler, Pc's current location address is 700 Olympic Plaza Cir Ste 412, Tyler, Texas. You can contact this provider via phone number 9035955186 and fax number 9035955240. The mailing address for Oral & Maxillofacial Surgery Of Tyler, Pc is 700 Olympic Plaza Cir Ste 412, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral & Maxillofacial Surgery Of Tyler, Pc |
|---|---|
| Address | 700 Olympic Plaza Cir Ste 412, Tyler, Texas |
| Phone Number | 9035955186 |
| Fax Number | 9035955240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Grace G. Jerri |
| Telephone Number | 9035955186 |
NPI Number Detail
| NPI Number | 1154493922 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 700 Olympic Plaza Cir Ste 412 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011952 |
| Phone Number | 9035955186 |
| Fax Number | 9035955240 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 10456 & 1710 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80858601 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Oral & Maxillofacial Surgery Of Tyler, Pc by the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgery Of Tyler, Pc has been issued the NPI (National Provider Identifier) 1154493922. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Oral & Maxillofacial Surgery Of Tyler, Pc's facilities are situated?
The facilities of Oral & Maxillofacial Surgery Of Tyler, Pc are physically located at the following address: 700 Olympic Plaza Cir Ste 412, Tyler, TX, 757011952.
What is Oral & Maxillofacial Surgery Of Tyler, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Oral & Maxillofacial Surgery Of Tyler, Pc is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Oral & Maxillofacial Surgery Of Tyler, Pc receive its 1154493922 assignment from the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgery Of Tyler, Pc was assigned its 1154493922 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Oral & Maxillofacial Surgery Of Tyler, Pc most recently updated or revised?
The details related to Oral & Maxillofacial Surgery Of Tyler, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-16.
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