| Platte Valley Oral & Maxillofacial Surgery Llc | |
|
416 Valley View Drive Suite 800 Scottsbluff NC 69361-1420 | |
| (308) 633-1760 | |
| (308) 633-1762 |
| Full Name | Platte Valley Oral & Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 416 Valley View Drive, Scottsbluff, North Carolina |
| Authorized Official Name and Position | Ryan Foote (PARTNER) |
| Authorized Official Contact | 3086331760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platte Valley Oral & Maxillofacial Surgery Llc 416 Valley View Drive Suite 800 Scottsbluff NC 69361-1420 Ph: (308) 633-1760 | Platte Valley Oral & Maxillofacial Surgery Llc 416 Valley View Drive Suite 800 Scottsbluff NC 69361-1420 Ph: (308) 633-1760 |
| NPI Number | 1255737078 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255737078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |