| Erickson Facial And Oral Surgery | |
|
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846 | |
| (646) 784-6987 | |
| Not Available |
| Full Name | Erickson Facial And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 400 Rosalind Redfern Grover Pkwy, Midland, Texas |
| Authorized Official Name and Position | Helaman Erickson (OWNER/SURGEON) |
| Authorized Official Contact | 6467846987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Facial And Oral Surgery 1306 Silverton Dr Midland TX 79705-4435 Ph: (646) 784-6987 | Erickson Facial And Oral Surgery 400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846 Ph: (646) 784-6987 |
| NPI Number | 1356885065 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356885065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 24141 (Texas) | Primary |
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