PHILLIP T. IERO M.D.D.D.S. PC NPI 1588697015

NPI Information

  • NPI: 1588697015
  • Provider Name: PHILLIP T. IERO, M.D.,D.D.S., PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: INSTITUTE OF FACIAL SURGERY
  • CLIA Number: 35D2011142
  • Address: 416 N 6TH ST
    BISMARCK, ND
    ZIP 58501
  • Phone: (701) 255-4000

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NPI Details

PHILLIP T. IERO, M.D.,D.D.S., PC is an oral and maxillofacial surgery dentist in Bismarck, ND. 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. PHILLIP T. IERO, M.D.,D.D.S., PC NPI is 1588697015. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Institute Of Facial Surgery.

The provider's business location address is:

416 N 6TH ST
BISMARCK, ND
ZIP 58501-416
Phone: (701) 255-4000
Fax: (701) 255-1992

The provider's authorized official is Charlene Ann Schmaltz .
The authorized official title is Practice Manager and has the following contact phone number 70125540000.

The CLIA number assigned to this NPI record is 35D2011142 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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

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