Mid America Oral Surgery And Implant Center

LBN: Reza Movahed Dmd, Llc
Mid America Oral Surgery And Implant Center is an health care organization with primary practice located at 624 Pierce Blvd Ste 200 , O Fallon IL 62269-2582. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Reza Movahed Dmd, Llc can be contacted via phone (618) 206-2630, or through Movahed, Reza via phone (618) 206-2630.

Contact Information

Primary practice address
624 Pierce Blvd Ste 200 O Fallon IL 62269-2582
Phone: (618) 206-2630
Fax: (618) 206-2631
Website:
Map and Directions
Authorized official contact:
Name: Movahed, Reza Doctor of Dental Medicine (DMD)
Phone: (618) 206-2630

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1740703842
LBN Legal business name Reza Movahed Dmd, Llc
DBA Doing business as Mid America Oral Surgery And Implant Center
Authorized official Movahed, Reza Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2017
Last updated Jan 24th, 2023 - about 2 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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