NPI: 1447271655
Provider Name: OREGON ORAL AND IMPLANT SURGEONS P.C.
Former Legal Business Name: ORAL & MAXILLOFACIAL SURGEONS, P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
CLIA Number: 38D1017827
Address:
330 S GARDEN WAY
SUITE 140
EUGENE, OR
ZIP 97401
Phone: (541) 686-9750
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OREGON ORAL AND IMPLANT SURGEONS P.C. is an oral and maxillofacial surgery dentist in Eugene, OR. 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. OREGON ORAL AND IMPLANT SURGEONS P.C. NPI is 1447271655. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Oral & Maxillofacial Surgeons, P.c..
The provider's business location address is:
330 S GARDEN WAY
SUITE 140
EUGENE, OR
ZIP 97401-176
Phone: (541) 686-9750
Fax: (541) 485-5034
The provider's authorized official is Diana D Sheffield .
The authorized official title is Practice Manager and has the following contact phone number (541) 686-9750.
The CLIA number assigned to this NPI record is 38D1017827 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/22/2006 and was last updated on 3/28/2012.