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PREMIERE MAXILLOFACIAL SURGEONS INC. NPI 1851411367


NPI Information

NPI: 1851411367
Provider Name: PREMIERE MAXILLOFACIAL SURGEONS, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3132 HARRISON AVE
EUREKA, CA
ZIP 95503
Phone: (707) 442-1775
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PREMIERE MAXILLOFACIAL SURGEONS, INC. is a general practice dentist in Eureka, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PREMIERE MAXILLOFACIAL SURGEONS, INC. NPI is 1851411367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3132 HARRISON AVE
EUREKA, CA
ZIP 95503-638
Phone: (707) 442-1775
Fax: (707) 444-2821

The provider's authorized official is William H Tetteh-martey .
The authorized official title is President and has the following contact phone number (626) 665-9279.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 11/17/2015.


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
11223G0001XDentistGeneral Practice52119CALIFORNIAYes

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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