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CENTER FOR CORRECTIVE JAW & FACIAL SURGERY .... NPI 1508938523


NPI Information

NPI: 1508938523
Provider Name: CENTER FOR CORRECTIVE JAW & FACIAL SURGERY ....
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
7055 N FRESNO ST #202
FRESNO, CA
ZIP 93720
Phone: (559) 432-4911
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CENTER FOR CORRECTIVE JAW & FACIAL SURGERY .... is an oral and maxillofacial surgery dentist in Fresno, CA. 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. CENTER FOR CORRECTIVE JAW & FACIAL SURGERY .... NPI is 1508938523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7055 N FRESNO ST #202
FRESNO, CA
ZIP 93720
Phone: (559) 432-4911
Fax: (559) 432-3515

The provider's authorized official is Leon Anton Jonker .
The authorized official title is President and has the following contact phone number (559) 432-4911.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


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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