FRESNO ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER NPI 1750481735

NPI Information

  • NPI: 1750481735
  • Provider Name: FRESNO ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 1903 E FIR AVE STE 101
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 226-2722

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NPI Details

FRESNO ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER is an oral and maxillofacial surgery dentist in Fresno, CA. 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. FRESNO ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER NPI is 1750481735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1903 E FIR AVE STE 101
FRESNO, CA
ZIP 93720-862
Phone: (559) 226-2722
Fax: (559) 226-6989

The provider's authorized official is Ryan Smith .
The authorized official title is Director Of Operations and has the following contact phone number (559) 326-5932.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 5/14/2021.

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

What is NPI?

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This page was last updated on: 3/30/2025

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