institution
Eastern Iowa Oral And Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) in Cedar Rapids, Iowa
NPI 1992962732

Eastern Iowa Oral And Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Cedar Rapids, IA and is specialized in Oral and Maxillofacial Surgery. Eastern Iowa Oral And Maxillofacial Surgery practices in Cedar Rapids, IA. The NPI Number for Eastern Iowa Oral And Maxillofacial Surgery is 1992962732 and holds a License No. 08986 (Iowa).

The current practice location address for Eastern Iowa Oral And Maxillofacial Surgery is 4150 Edgewood Road Ne, Cedar Rapids, IA and can be reached out via phone at 319-366-8277 and via fax at 319-366-7091. You can also correspond with Eastern Iowa Oral And Maxillofacial Surgery through the mailing address at 4150 EDGEWOOD ROAD NE, CEDAR RAPIDS, IA - 52402-0609 (mailing address contact number: 319-366-8277).

Location: 4150 Edgewood Road Ne, Cedar Rapids, IA, 52402-0609
institution
Provider Profile Details
NPI Number
1992962732
Provider Name
Eastern Iowa Oral And Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
4150 Edgewood Road Ne, Cedar Rapids, IA, 52402-0609
Phone Number
319-366-8277
Fax Number
319-366-7091
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08986 01 IA BENJAMIN L. FULLER LICENSE NUMBER
1265727150 01 IA JAROM E. MAURER NPI
1689802910 01 IA BENJAMIN L. FULLER NPI
09173 01 IA JAROM E. MAURER LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4150 Edgewood Road Ne
City
State
Zip
52402-0609
Phone Number
319-366-8277
Fax Number
319-366-7091
person
Provider Business Mailing Address Details
Address
4150 Edgewood Road Ne
City
State
Zip
52402-0609
Phone Number
319-366-8277
Fax Number
319-366-7091
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
08986 (Iowa)
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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