VISION SURGICAL ARTS LLC NPI 1366039075

NPI Information

  • NPI: 1366039075
  • Provider Name: VISION SURGICAL ARTS, LLC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Doing Business As: ORAL FACIAL SURGERY INSTITUTE
  • Address: 621 S NEW BALLAS RD STE 16A
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 251-6725

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NPI Details

VISION SURGICAL ARTS, LLC is an oral maxillofacial surgery in Saint Louis, MO. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. VISION SURGICAL ARTS, LLC NPI is 1366039075. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oral Facial Surgery Institute.

The provider's business location address is:

621 S NEW BALLAS RD STE 16A
SAINT LOUIS, MO
ZIP 63141-239
Phone: (314) 251-6725

The provider's authorized official is Lacy Wilson .
The authorized official title is Business Manager and has the following contact phone number (314) 251-6725.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 3/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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