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EL PASO ORAL & FACIAL SURGEONS PLLC NPI 1326423468


NPI Information

NPI: 1326423468
Provider Name: EL PASO ORAL & FACIAL SURGEONS, PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1390 GEORGE DIETER DR
SUITE 120
EL PASO, TX
ZIP 79936
Phone: (618) 402-6622
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EL PASO ORAL & FACIAL SURGEONS, PLLC is an oral and maxillofacial surgery dentist in El Paso, TX. 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. EL PASO ORAL & FACIAL SURGEONS, PLLC NPI is 1326423468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1390 GEORGE DIETER DR
SUITE 120
EL PASO, TX
ZIP 79936-420
Phone: (618) 402-6622

The provider's authorized official is Clark A. Petersen .
The authorized official title is Business Manager and has the following contact phone number (618) 402-6622.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.


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
11223S0112XDentistOral and Maxillofacial Surgery30862TEXASYes

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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