FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP NPI 1841324084

NPI Information

FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP is an oral and maxillofacial surgery dentist in Fort Dodge, IA. 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. FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP NPI is 1841324084. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Fort Dodge Oral And Maxillofacial Surgery Pc.

The provider's business location address is:

804 KENYON RD
STE 120
FORT DODGE, IA
ZIP 50501-742
Phone: (515) 576-8727
Fax: (515) 576-7076

The provider's authorized official is Elizabeth Schrauth .
The authorized official title is Office Manager and has the following contact phone number (515) 576-8727.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 12/29/2017.

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:

Other Identifiers

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