National Provider Identifier Database

WIDNER ELITE ORAL SURGERY
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

WIDNER ELITE ORAL SURGERY
1500 W 38TH ST STE 51
AUSTIN, TX78731-6320
Phone: 512-452-3223
Fax: 512-452-5245
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for WIDNER ELITE ORAL SURGERY

NPI Number 1932904141
Legal business name
LBN
WIDNER ELITE ORAL SURGERY
Authorized official JOYCE STAPLES - (BILLING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 02/13/2025
Last updated 02/13/2025 - More than a year 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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