RIO RANCHO ORAL AND MAXILLOFACIAL SURGERY PC; NPI #1245533439

Contact Information

RIO RANCHO ORAL AND MAXILLOFACIAL SURGERY PC

1316 JACKIE ROAD SE
SUITE 600
RIO RANCHO, NM 87124-6606

Phone: 505-994-4772
Fax: 505-994-1925
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for RIO RANCHO ORAL AND MAXILLOFACIAL SURGERY PC

NPI Number 1245533439

LBN Legal business name RIO RANCHO ORAL AND MAXILLOFACIAL SURGERY PC

Authorized official LAURENCE ROGEL - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/10/2010

Last updated 11/29/2018 - About 8 years ago

Identifiers

NM	License #	DD1538
NM	Medicaid	00085266

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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