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 # | 1477075653 |
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| LBN Legal business name | BERTZ PROFESSIONAL CORPORATION | ||||
| Authorized official | JENNIFER LUCAS - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/10/2017 | ||||
| Last updated | 12/29/2017 - About 8 years ago | ||||
| Identifiers |
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BERTZ PROFESSIONAL CORPORATION
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BERTZ PROFESSIONAL CORPORATION