Face And Jaw Surgeons Pc

LBN: Face And Jaw Surgeons Pc
Face And Jaw Surgeons Pc is an health care organization with primary practice located at 2615 Elk Dr Suite 3, Minot ND 58701-1200. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Face And Jaw Surgeons Pc can be contacted via phone (701) 852-3421, or through Deatherage, Joseph R via phone (701) 258-7220.

Contact Information

Primary practice address
2615 Elk Dr Suite 3 Minot ND 58701-1200
Phone: (701) 852-3421
Fax: (701) 838-1842
Website:
Map and Directions
Authorized official contact:
Name: Deatherage, Joseph R DMD MD
Phone: (701) 258-7220

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1104863505
LBN Legal business name Face And Jaw Surgeons Pc
DBA Doing business as
Authorized official Deatherage, Joseph R DMD MD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 8th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104863505 NPPES
North Dakota MEDICAID 41328

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