Face and Jaw Surgeons PC

NPI #1184667305 in Bismarck, North Dakota

Provider Information

NPI Number
1184667305
Entity Type
Organization
Organization Name
Face and Jaw Surgeons PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 14, 2006
Last Updated
Apr 25, 2019

Practice Location

Address
1140 W CAPITOL AVE
ZIP Code
58501-9956
Phone
(701) 258-7220

Authorized Official

Name
JOSEPH R DEATHERAGE, DMD MD
Title
DMD MD
Phone
(701) 258-7220

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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