The Center for Oral and Maxillofacial Surgery LLC
NPI #1386763936 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1386763936
- Entity Type
- Organization
- Organization Name
- The Center for Oral and Maxillofacial Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 936 IDA ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4210
- Phone
- (573) 785-8471
Authorized Official
- Name
- JOHN SHEETS
- Title
- ORAL SURGEON
- Phone
- (573) 785-8471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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