| The Center For Oral And Maxillofacial Surgery Llc | |
|
936 Ida St Poplar Bluff MO 63901-4210 | |
| (573) 785-8471 | |
| Not Available |
| Full Name | The Center For Oral And Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 936 Ida St, Poplar Bluff, Missouri |
| Authorized Official Name and Position | John Sheets (ORAL SURGEON) |
| Authorized Official Contact | 5737858471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Oral And Maxillofacial Surgery Llc 936 Ida St Poplar Bluff MO 63901-4210 Ph: () - | The Center For Oral And Maxillofacial Surgery Llc 936 Ida St Poplar Bluff MO 63901-4210 Ph: (573) 785-8471 |
| NPI Number | 1386763936 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386763936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12546 (Missouri) | Primary |
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