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MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY INC. NPI 1265767644


NPI Information

NPI: 1265767644
Provider Name: MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY, INC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2878 CAMINO DEL RIO S
SUITE 210
SAN DIEGO, CA
ZIP 92108
Phone: (619) 298-2200
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MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY, INC. is an oral and maxillofacial surgery dentist in San Diego, 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. MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY, INC. NPI is 1265767644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2878 CAMINO DEL RIO S
SUITE 210
SAN DIEGO, CA
ZIP 92108-872
Phone: (619) 298-2200
Fax: (619) 298-2250

The provider's authorized official is Frederick White Hammond .
The authorized official title is Partner and has the following contact phone number (619) 298-2200.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.


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 Surgery31922CALIFORNIAYes

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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