Oral Facial Surgery Pa in Willmar - Oral And Maxillofacial Surgery
Oral Facial Surgery Pa - NPI 1710965991
Oral Facial Surgery Pa is a Oral And Maxillofacial Surgery in Willmar, Minnesota. Oral Facial Surgery Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral Facial Surgery Pa is 1710965991. The last update date is 2020-08-22.
Oral Facial Surgery Pa's current location address is 1029 19th Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202351803 and fax number 3202356097. The mailing address for Oral Facial Surgery Pa is 1029 19th Ave Sw, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral Facial Surgery Pa |
|---|---|
| Address | 1029 19th Ave Sw, Willmar, Minnesota |
| Phone Number | 3202351803 |
| Fax Number | 3202356097 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hughes R James |
| Credentials | DDS |
| Telephone Number | 3202351803 |
NPI Number Detail
| NPI Number | 1710965991 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1029 19th Ave Sw |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 56201 |
| Phone Number | 3202351803 |
| Fax Number | 3202356097 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
|
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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What is the Oral Facial Surgery Pa's 1710965991?
The Oral Facial Surgery Pa's NPI (National Provider Identifier) Number is 1710965991. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Oral Facial Surgery Pa is physically located?
The Oral Facial Surgery Pa is physically situated at the following address: 1029 19Th Ave Sw, Willmar, MN, 56201.
What is Oral Facial Surgery Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Oral Facial Surgery Pa is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 261Qs0112X.
On what date did the Oral Facial Surgery Pa receive the assignment of its 1710965991 from the Centers for Medicare & Medicaid Services?
The Oral Facial Surgery Pa was issued its 1710965991 by the Centers for Medicare & Medicaid Services on 2006-01-06.
When was the information regarding Oral Facial Surgery Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Oral Facial Surgery Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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