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CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC NPI 1669416475


NPI Information

NPI: 1669416475
Provider Name: CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5756 S STAPLES ST F
CORPUS CHRISTI, TX
ZIP 78413
Phone: (361) 993-2290
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CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC is an oral and maxillofacial surgery dentist in Corpus Christi, 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. CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC NPI is 1669416475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5756 S STAPLES ST F
CORPUS CHRISTI, TX
ZIP 78413-796
Phone: (361) 993-2290
Fax: (361) 992-4961

The provider's authorized official is Debra Hendricks .
The authorized official title is Insurance Clerk and has the following contact phone number (361) 993-2290.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/10/2013.


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 SurgeryYes

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
10080AKMEDICARE ID-TYPE UNSPECIFIEDTEXAS
20811788-01MEDICAIDTEXAS
3G60013-1OTHERTEXASDELTA TX CHIPS
40098105-01MEDICAIDTEXAS

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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