Face And Jaw Surgeons Pc in Minot - Oral And Maxillofacial Surgery

Face And Jaw Surgeons Pc - NPI 1104863505

Face And Jaw Surgeons Pc is a Oral And Maxillofacial Surgery in Minot, 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 1104863505. The last update date is 2017-06-08.

Face And Jaw Surgeons Pc's current location address is 2615 Elk Dr, Minot, North Dakota. You can contact this provider via phone number 7018523421 and fax number 7018381842. The mailing address for Face And Jaw Surgeons Pc is 2615 Elk Dr, Minot, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Face And Jaw Surgeons Pc
Address 2615 Elk Dr, Minot, North Dakota
Phone Number 7018523421
Fax Number 7018381842
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DMD MD
Authorized Official Name Deatherage R Joseph
Credentials DMD MD
Telephone Number 7012587220

NPI Number Detail

NPI Number 1104863505
Provider Enumeration Date 2006-06-02
Last Updated Date 2017-06-08

Provider Mailing Address Detail

Address 2615 Elk Dr
City Minot
State North Dakota (ND)
Post Code 587011200
Phone Number 7018523421
Fax Number 7018381842

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
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
41328 ND --

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FAQs about Face And Jaw Surgeons Pc

What is the unique 10-digit identification 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) 1104863505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Face And Jaw Surgeons Pc is physically located?

The Face And Jaw Surgeons Pc is physically situated at the following address: 2615 Elk Dr, Minot, ND, 587011200.

What is Face And Jaw Surgeons Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

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

When did the Face And Jaw Surgeons Pc receive its 1104863505?

The Face And Jaw Surgeons Pc was issued its 1104863505 on 2006-06-02, which is the date when the organization was assigned this unique identifier.

When was the Face And Jaw Surgeons Pc's information last updated?

The Face And Jaw Surgeons Pc's information was last updated on 2017-06-08.

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