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JEFFREY R. PRINSELL DMD MD P.C. NPI 1164449898


NPI Information

NPI: 1164449898
Provider Name: JEFFREY R. PRINSELL, DMD, MD, P.C.
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1950 SPECTRUM CIR SE STE B300
MARIETTA, GA
ZIP 30067
Phone: (770) 956-9856
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JEFFREY R. PRINSELL, DMD, MD, P.C. is an oral and maxillofacial surgery clinic center in Marietta, GA. The provider is an oral and maxillofacial surgery clinic or center 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. JEFFREY R. PRINSELL, DMD, MD, P.C. NPI is 1164449898. The provider is registered as an organization entity type.

The provider's business location address is:

1950 SPECTRUM CIR SE STE B300
MARIETTA, GA
ZIP 30067-657
Phone: (770) 956-9856
Fax: (770) 956-9879

The provider's authorized official is Jeffrey R Prinsell .
The authorized official title is Oral & Maxillofacial Surgeon /owner and has the following contact phone number (770) 956-9856.

The enumeration date for this NPI number is 7/17/2006 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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryDN 010735GEORGIAYes

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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