Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI Number | 1467389817 |
| LBN Legal business name | HH ORAL MAXILLOFACIAL SURGERY |
| Authorized official | CLINTON CARTER - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/07/2026 |
| Last updated | 05/14/2026 - About 3 weeks ago |
| Identifiers | n/a |
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