| Columbia Oral & Maxillofacial Surgery Llc | |
|
1000 W Nifong Blvd Bldg 4 Ste 100 Columbia MO 65203-5661 | |
| (573) 443-0466 | |
| (573) 442-5417 |
| Full Name | Columbia Oral & Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1000 W Nifong Blvd, Columbia, Missouri |
| Authorized Official Name and Position | James Adam Andrews (OWNER) |
| Authorized Official Contact | 5734430466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Oral & Maxillofacial Surgery Llc 1000 W Nifong Blvd Bldg 4 Ste 100 Columbia MO 65203-5661 Ph: (573) 443-0466 | Columbia Oral & Maxillofacial Surgery Llc 1000 W Nifong Blvd Bldg 4 Ste 100 Columbia MO 65203-5661 Ph: (573) 443-0466 |
| NPI Number | 1770591752 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770591752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Missouri) | Primary |
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