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ORAL SURGERY ASSOCIATES PC NPI 1447359534


NPI Information

NPI: 1447359534
Provider Name: ORAL SURGERY ASSOCIATES PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
16216 BAXTER RD
SUITE 250
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 532-3525
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ORAL SURGERY ASSOCIATES PC is an oral and maxillofacial surgery dentist in Chesterfield, MO. 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. ORAL SURGERY ASSOCIATES PC NPI is 1447359534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16216 BAXTER RD
SUITE 250
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 532-3525
Fax: (636) 532-5782

The provider's authorized official is Susan Ann Godwin .
The authorized official title is Oral Surgeon and has the following contact phone number (636) 532-3525.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 3/13/2008.


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 Surgery013223MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T88913MEDICARE UPINMISSOURI
2T88913MEDICARE UPIN

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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