Precision Implant & Oral Surgery Pc in St George - Oral & Maxillofacial Surgery
Precision Implant & Oral Surgery Pc - NPI 1164422739
Precision Implant & Oral Surgery Pc is a Oral & Maxillofacial Surgery in St George, Utah. Precision Implant & Oral Surgery Pc practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Precision Implant & Oral Surgery Pc is 1164422739. The last update date is 2017-10-12.
Precision Implant & Oral Surgery Pc's current location address is 754 S Main St, St George, Utah. You can contact this provider via phone number 4356521445 and fax number 4356520138. The mailing address for Precision Implant & Oral Surgery Pc is 754 S Main St, St George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Precision Implant & Oral Surgery Pc |
|---|---|
| Address | 754 S Main St, St George, Utah |
| Phone Number | 4356521445 |
| Fax Number | 4356520138 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bulloch Edwin Scott |
| Credentials | DDS, MS |
| Telephone Number | 4356521445 |
NPI Number Detail
| NPI Number | 1164422739 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2017-10-12 |
Provider Mailing Address Detail
| Address | 754 S Main St |
|---|---|
| City | St George |
| State | Utah (UT) |
| Post Code | 847705504 |
| Phone Number | 4356521445 |
| Fax Number | 4356520138 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 273596-9924 |
|
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 |
|---|---|---|---|
| 562454357012 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Precision Implant & Oral Surgery Pc by the Centers for Medicare & Medicaid Services?
The Precision Implant & Oral Surgery Pc has been issued the NPI (National Provider Identifier) 1164422739 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Precision Implant & Oral Surgery Pc's physical address?
The Precision Implant & Oral Surgery Pc is physically located at 754 S Main St, in the city of St George, UT, with the postal code 847705504.
What is Precision Implant & Oral Surgery Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Precision Implant & Oral Surgery Pc's area of specialization is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 204E00000X.
On what date did the Precision Implant & Oral Surgery Pc receive the assignment of its 1164422739 from the Centers for Medicare & Medicaid Services?
The Precision Implant & Oral Surgery Pc was issued its 1164422739 by the Centers for Medicare & Medicaid Services on 2005-07-26.
When was the information pertaining to Precision Implant & Oral Surgery Pc most recently updated or revised?
The details related to Precision Implant & Oral Surgery Pc, including its address, specialty, and other relevant information, were last updated or revised on 2017-10-12.
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