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Jefferson City Oral And Maxillofacial Surgery, Llc
Oral and Maxillofacial Surgery (Dentist) in Jefferson City, Missouri
NPI 1760599732

Jefferson City Oral And Maxillofacial Surgery, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Jefferson City, MO and is specialized in Oral and Maxillofacial Surgery. Jefferson City Oral And Maxillofacial Surgery, Llc practices in Jefferson City, MO. The NPI Number for Jefferson City Oral And Maxillofacial Surgery, Llc is 1760599732 and holds a License No. (Missouri).

The current practice location address for Jefferson City Oral And Maxillofacial Surgery, Llc is 1400 Southwest Blvd, Jefferson City, MO and can be reached out via phone at 573-635-7216 and via fax at 573-635-2646.

Location: 1400 Southwest Blvd, Jefferson City, MO, 65109-2490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760599732
Provider Name
Jefferson City Oral And Maxillofacial Surgery, Llc
Credential
Provider Entity Type
Organization
Address
1400 Southwest Blvd, Jefferson City, MO, 65109-2490
Phone Number
573-635-7216
Fax Number
573-635-2646
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1400 Southwest Blvd
City
Jefferson City
State
Missouri
Zip
65109-2490
Phone Number
573-635-7216
Fax Number
573-635-2646
person
Provider Business Mailing Address Details
Address
1400 Southwest Blvd
City
Jefferson City
State
Missouri
Zip
65109-2490
Phone Number
573-635-7216
Fax Number
573-635-2646
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
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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