VALLEY ORAL & FACIAL SURGERY PC; NPI #1396978136

Contact Information

VALLEY ORAL & FACIAL SURGERY PC

2701 9TH AVE S STE F
FARGO, ND 58103-8712

Phone: 701-772-7379
Fax: 701-772-9643
Website:

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

Indicates primary specialty

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NPI Profile & details for VALLEY ORAL & FACIAL SURGERY PC

NPI Number	`1396978136`
LBN Legal business name	VALLEY ORAL & FACIAL SURGERY PC
Authorized official	TROY PETERSEN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/27/2009
Last updated	08/27/2009 - About 17 years ago
Identifiers	n/a

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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