Oral Surgery Center Of Bismarck, Pc in Bismarck - Oral And Maxillofacial Surgery

Oral Surgery Center Of Bismarck, Pc - NPI 1477723591

Oral Surgery Center Of Bismarck, Pc is a Oral And Maxillofacial Surgery in Bismarck, North Dakota. Oral Surgery Center Of Bismarck, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral Surgery Center Of Bismarck, Pc is 1477723591. The last update date is 2014-04-14.

Oral Surgery Center Of Bismarck, Pc's current location address is 3117 N 14th St, Bismarck, North Dakota. You can contact this provider via phone number 7012212719 and fax number 7012212819. The mailing address for Oral Surgery Center Of Bismarck, Pc is 3117 N 14th St, Bismarck, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oral Surgery Center Of Bismarck, Pc
Address 3117 N 14th St, Bismarck, North Dakota
Phone Number 7012212719
Fax Number 7012212819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Iravani S Mansureh
Credentials DMD, MD
Telephone Number 7012212719

NPI Number Detail

NPI Number 1477723591
Provider Enumeration Date 2008-03-04
Last Updated Date 2014-04-14

Provider Mailing Address Detail

Address 3117 N 14th St
City Bismarck
State North Dakota (ND)
Post Code 585030664
Phone Number 7012212719
Fax Number 7012212819

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 1928
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 Oral Surgery Center Of Bismarck, Pc

What is the unique provider identifier assigned to Oral Surgery Center Of Bismarck, Pc?

The Oral Surgery Center Of Bismarck, Pc has been issued the NPI (National Provider Identifier) 1477723591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Oral Surgery Center Of Bismarck, Pc?

The Oral Surgery Center Of Bismarck, Pc is physically situated at 3117 N 14Th St, in the city of Bismarck, state of ND, with the postal code 585030664.

What is Oral Surgery Center Of Bismarck, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Oral Surgery Center Of Bismarck, Pc's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477723591 to Oral Surgery Center Of Bismarck, Pc?

The Oral Surgery Center Of Bismarck, Pc received its 1477723591 assignment from the Centers for Medicare & Medicaid Services on 2008-03-04.

When was the information regarding Oral Surgery Center Of Bismarck, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Oral Surgery Center Of Bismarck, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-04-14.

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