National Provider Identifier Database

ORAL MAXILLOFACIAL SURGERY ASSOC 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

ORAL & MAXILLOFACIAL SURGERY ASSOC PC
116 E 11TH ST
SUITE 201
SPENCER, IA51301-4364
Phone: 712-262-7350
Fax: 712-262-7351
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL & MAXILLOFACIAL SURGERY ASSOC PC

NPI Number 1851453369
Legal business name
LBN
ORAL & MAXILLOFACIAL SURGERY ASSOC PC
Authorized official JOHN SYNHORST - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/14/2006
Last updated 02/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0138982
  • MN Medicaid: 080020100
  • MN Medicaid: 173325
  • IA Other: 13898 JOHN B SYNHORST BCBS IA
  • MN Other: 288M8OR BCBS MN

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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