Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1164265633 |
| LBN Legal business name | THREE RIVERS ORAL AND FACIAL SURGERY LLC |
| Authorized official | DANIEL PETRISOR - (SURGEON) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/13/2024 |
| Last updated | 06/13/2024 - More than a year ago |
| Identifiers | n/a |
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THREE RIVERS ORAL AND FACIAL SURGERY LLC