Face And Jaw Surgeons Pc in Bismarck - Oral And Maxillofacial Surgery
Face And Jaw Surgeons Pc - NPI 1184667305
Face And Jaw Surgeons Pc is a Oral And Maxillofacial Surgery in Bismarck, North Dakota. Face And Jaw Surgeons Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Face And Jaw Surgeons Pc is 1184667305. The last update date is 2019-04-25.
Face And Jaw Surgeons Pc's current location address is 1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota. You can contact this provider via phone number 7012587220 and fax number 7012222329. The mailing address for Face And Jaw Surgeons Pc is 1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Face And Jaw Surgeons Pc |
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Address | 1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota |
Phone Number | 7012587220 |
Fax Number | 7012222329 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DMD MD |
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Authorized Official Name | Deatherage R Joseph |
Credentials | DMD MD |
Telephone Number | 7012587220 |
NPI Number Detail
NPI Number | 1184667305 |
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Provider Enumeration Date | 2006-06-14 |
Last Updated Date | 2019-04-25 |
Provider Mailing Address Detail
Address | 1730 Burnt Boat Dr Ste 300 |
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City | Bismarck |
State | North Dakota (ND) |
Post Code | 585030886 |
Phone Number | 7012587220 |
Fax Number | 7012222329 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
41124 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Face And Jaw Surgeons Pc by the Centers for Medicare & Medicaid Services?
The Face And Jaw Surgeons Pc has been assigned the NPI (National Provider Identifier) 1184667305. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Face And Jaw Surgeons Pc?
The Face And Jaw Surgeons Pc is situated at 1730 Burnt Boat Dr Ste 300, in the city of Bismarck, state of ND, with the zip code 585030886.
What is the Face And Jaw Surgeons Pc's area of specialization and corresponding taxonomy classification?
The Face And Jaw Surgeons Pc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
When was the Face And Jaw Surgeons Pc's 1184667305 issued?
The Face And Jaw Surgeons Pc's 1184667305 was issued on 2006-06-14.
When was the Face And Jaw Surgeons Pc's information last updated?
The Face And Jaw Surgeons Pc's information was last updated on 2019-04-25.