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SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS NPI 1093746174


NPI Information

NPI: 1093746174
Provider Name: SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
3162 STATE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 779-1184
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SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS is an oral and maxillofacial pathology dentist in Medford, OR. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS NPI is 1093746174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3162 STATE ST
MEDFORD, OR
ZIP 97504-450
Phone: (541) 779-1184
Fax: (541) 773-9885

The provider's authorized official is Nicole Ripplinger .
The authorized official title is Office Manager and has the following contact phone number (541) 779-1184.

The enumeration date for this NPI number is 7/6/2006 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
11223P0106XDentistOral and Maxillofacial PathologyD7720OREGONYes

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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