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MAXILLOFACIAL SURGEONS LTD. NPI 1972579183


NPI Information

NPI: 1972579183
Provider Name: MAXILLOFACIAL SURGEONS, LTD.

Doing Business As: MSL FACIAL & ORAL SURGERY

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization

CLIA Number: 41D2110830

Address:
243 JEFFERSON BLVD
WARWICK, RI
ZIP 02888
Phone: (401) 739-5500
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MAXILLOFACIAL SURGEONS, LTD. is an oral maxillofacial surgery in Warwick, RI. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. MAXILLOFACIAL SURGEONS, LTD. NPI is 1972579183. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Msl Facial & Oral Surgery.

The provider's business location address is:

243 JEFFERSON BLVD
WARWICK, RI
ZIP 02888-818
Phone: (401) 739-5500
Fax: (401) 738-1550

The provider's authorized official is Anthony R Petito .
The authorized official title is President and has the following contact phone number (401) 739-5500.

The CLIA number assigned to this NPI record is 41D2110830 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & 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
19008578MEDICAIDRHODE ISLAND

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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