National Provider Identifier Database

VALLEY ORAL FACIAL 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

VALLEY ORAL & FACIAL SURGERY PC
1165 S COLUMBIA RD STE C
GRAND FORKS, ND58201-4007
Phone: 701-772-7379
Fax: 701-772-9643
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for VALLEY ORAL & FACIAL SURGERY PC

NPI Number 1801959788
Legal business name
LBN
VALLEY ORAL & FACIAL SURGERY PC
Authorized official TROY PETERSEN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/19/2006
Last updated 05/14/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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