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ORAL SURGERY ASSOCATES P.C. NPI 1548304710


NPI Information

NPI: 1548304710
Provider Name: ORAL SURGERY ASSOCATES, P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
301 OAK TREE LN
DAKOTA DUNES, SD
ZIP 57049
Phone: (605) 242-0107
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ORAL SURGERY ASSOCATES, P.C. is an oral and maxillofacial surgery dentist in Dakota Dunes, SD. 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. ORAL SURGERY ASSOCATES, P.C. NPI is 1548304710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 OAK TREE LN
DAKOTA DUNES, SD
ZIP 57049-095
Phone: (605) 242-0107
Fax: (605) 242-0145

The provider's authorized official is Clinton E Norby .
The authorized official title is Omfs/president and has the following contact phone number (605) 242-0107.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 11/15/2019.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11548304710MEDICAIDSOUTH DAKOTA
21548304710MEDICAIDIOWA
31548304710MEDICAIDNEBRASKA

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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