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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for ORAL & MAXILLOFACIAL SURGERY ASSOC PC

NPI Number 1851453369
LBN Legal business name ORAL & MAXILLOFACIAL SURGERY ASSOC PC
Authorized official JOHN SYNHORST - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 02/01/2010 - About 16 years ago
Identifiers
IA Medicaid 0138982
MN Medicaid 080020100
MN Medicaid 173325
IA Other 13898 JOHN B SYNHORST BCBS IA
MN Other 288M8OR BCBS MN
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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