National Provider Identifier Database

ROGUE VALLEY ORAL MAXILLOFACIAL SURGERY PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC
460 MURPHY ROAD
MEDFORD, OR97504
Phone: 541-776-0050
Fax: 541-776-0062
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC

NPI Number 1699908475
Legal business name
LBN
ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC
Authorized official MICHAEL DOHERTY - (SURGEON/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/27/2009
Last updated 03/26/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: D9230

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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