FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP NPI 1841324084

NPI Information

  • NPI: 1841324084
  • Provider Name: FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Former Legal Business Name: FORT DODGE ORAL AND MAXILLOFACIAL SURGERY PC
  • Address: 804 KENYON RD
    STE 120
    FORT DODGE, IA
    ZIP 50501
  • Phone: (515) 576-8727

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryIOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10438101MEDICAIDIOWA
21095471MEDICAIDIOWA
31165050MEDICAIDIOWA

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: 11/21/2025

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