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FACE AND JAW SURGEONS PC NPI 1396343737


NPI Information

NPI: 1396343737
Provider Name: FACE AND JAW SURGEONS PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 35D1058032

Address:
1517 12 AVE NE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 239-5969
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FACE AND JAW SURGEONS PC is an oral and maxillofacial surgery dentist in Jamestown, ND. The provider is an oral and maxillofacial surgery dentist specialized in 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. FACE AND JAW SURGEONS PC NPI is 1396343737. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1517 12 AVE NE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 239-5969

The provider's authorized official is Melinda Kleinjan .
The authorized official title is Office Manager and has the following contact phone number (701) 258-7220.

The CLIA number assigned to this NPI record is 35D1058032 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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