Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI Number | 1134073653 |
| LBN Legal business name | DUBOIS ORAL SURGERY, PLLC |
| Authorized official | KATHERINE RICHARDSON - (ORAL SURGEON) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/23/2026 |
| Last updated | 02/24/2026 - About 3 months ago |
| Identifiers | n/a |
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