Daniel Petrisor in Portland - Oral & Maxillofacial Surgery
Daniel Petrisor - NPI 1235332834
Daniel Petrisor is a Oral & Maxillofacial Surgery in Portland, Oregon. Daniel Petrisor practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Daniel Petrisor is 1235332834. The last update date is 2014-10-13.
Daniel Petrisor's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948914 and fax number 5034940294. The mailing address for Daniel Petrisor is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Petrisor |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948914 |
| Fax Number | 5034940294 |
| Sole Proprietor | N |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1235332834 |
|---|---|
| Provider Enumeration Date | 2007-06-09 |
| Last Updated Date | 2014-10-13 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948914 |
| Fax Number | 5034940294 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | ME16886 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148H9 | FL | BCBS FL | |
| BP1-0026540 | INSTITUTIONAL PERMIT | ||
| 0022923-00 | FL | -- | |
| 500654224 | OR | -- | |
| 500651136 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Daniel Petrisor by the Centers for Medicare & Medicaid Services?
The Daniel Petrisor has been issued the NPI (National Provider Identifier) 1235332834, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Daniel Petrisor?
The Daniel Petrisor is physically situated at 3181 Sw Sam Jackson Park Rd, in the city of Portland, state of OR, with the postal code 972393011.
What is Daniel Petrisor's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Daniel Petrisor is Oral & Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235332834 to Daniel Petrisor?
The Centers for Medicare & Medicaid Services originally issued the 1235332834 to Daniel Petrisor on 2007-06-09.
As of what date was the information pertaining to Daniel Petrisor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Daniel Petrisor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-10-13.