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The Center For Oral And Maxillofacial Surgery Llc
Oral and Maxillofacial Surgery (Dentist) in Poplar Bluff, Missouri
NPI 1386763936

The Center For Oral And Maxillofacial Surgery Llc is a Oral and Maxillofacial Surgery (Dentist) based in Poplar Bluff, MO and is specialized in Oral and Maxillofacial Surgery. The Center For Oral And Maxillofacial Surgery Llc practices in Poplar Bluff, MO. The NPI Number for The Center For Oral And Maxillofacial Surgery Llc is 1386763936 and holds a License No. 12546 (Missouri).

The current practice location address for The Center For Oral And Maxillofacial Surgery Llc is 936 Ida St, Poplar Bluff, MO and can be reached out via phone at 573-785-8471. You can also correspond with The Center For Oral And Maxillofacial Surgery Llc through the mailing address at 936 IDA ST, POPLAR BLUFF, MO - 63901-4210 (mailing address contact number: ).

Location: 936 Ida St, Poplar Bluff, MO, 63901-4210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386763936
Provider Name
The Center For Oral And Maxillofacial Surgery Llc
Credential
Provider Entity Type
Organization
Address
936 Ida St, Poplar Bluff, MO, 63901-4210
Phone Number
573-785-8471
Fax Number
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
936 Ida St
City
Poplar Bluff
State
Missouri
Zip
63901-4210
Phone Number
573-785-8471
Fax Number
person
Provider Business Mailing Address Details
Address
936 Ida St
City
Poplar Bluff
State
Missouri
Zip
63901-4210
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12546 (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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