Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dental Hygienist |
124Q00000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery |
| NPI Number | 1861807646 |
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| LBN Legal business name | FACIAL & ORAL SURGICAL SOLUTIONS, PLLC | ||||||||||||||||
| Authorized official | STONE THAYER - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 06/30/2014 | ||||||||||||||||
| Last updated | 06/30/2014 - About 12 years ago | ||||||||||||||||
| Identifiers |
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