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Southeast Missouri Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) in Cape Girardeau, Missouri
NPI 1114217585

Southeast Missouri Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Cape Girardeau, MO and is specialized in Oral and Maxillofacial Surgery. Southeast Missouri Oral & Maxillofacial Surgery practices in Cape Girardeau, MO. The NPI Number for Southeast Missouri Oral & Maxillofacial Surgery is 1114217585 and holds a License No. 2003012137 (Missouri).

The current practice location address for Southeast Missouri Oral & Maxillofacial Surgery is 66 Doctors Park, Cape Girardeau, MO and can be reached out via phone at 573-334-5566 and via fax at 573-334-9004.

Location: 66 Doctors Park, Cape Girardeau, MO, 63703-4928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114217585
Provider Name
Southeast Missouri Oral & Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
66 Doctors Park, Cape Girardeau, MO, 63703-4928
Phone Number
573-334-5566
Fax Number
573-334-9004
Provider Enumeration Date
04/19/2011
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
66 Doctors Park
City
Cape Girardeau
State
Missouri
Zip
63703-4928
Phone Number
573-334-5566
Fax Number
573-334-9004
person
Provider Business Mailing Address Details
Address
66 Doctors Park
City
Cape Girardeau
State
Missouri
Zip
63703-4928
Phone Number
573-334-5566
Fax Number
573-334-9004
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2003012137 (Missouri)
Definition
The specialty of dentistry which includes 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.
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