Face and Jaw Surgeons PC
NPI #1104863505 in Minot, North Dakota
Provider Information
- NPI Number
- 1104863505
- Entity Type
- Organization
- Organization Name
- Face and Jaw Surgeons PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Jun 8, 2017
Practice Location
- Address
- 2615 ELK DR
- Address 2
- SUITE 3
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-1200
- Phone
- (701) 852-3421
Authorized Official
- Name
- JOSEPH R DEATHERAGE, DMD MD
- Title
- DMD MD
- Phone
- (701) 258-7220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Rayanne F Shannon, DDS | |
| Michael G Mcmahon, DDS | |
| DR. Jeremiah J Glosenger, D.D.S. | |
| Juan J Ulloa, DDS |
Organizations
| Provider Name | |
|---|---|
| Prairie Oral Surgery Ltd |
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