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ORAL AND MAXILLOFACIAL SURGEONS INC NPI 1205946787


NPI Information

NPI: 1205946787
Provider Name: ORAL AND MAXILLOFACIAL SURGEONS INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
456 N NEW BALLAS RD
SUITE 249
CREVE COEUR, MO
ZIP 63141
Phone: (314) 569-2201
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ORAL AND MAXILLOFACIAL SURGEONS INC is an oral and maxillofacial surgery dentist in Creve Coeur, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ORAL AND MAXILLOFACIAL SURGEONS INC NPI is 1205946787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

456 N NEW BALLAS RD
SUITE 249
CREVE COEUR, MO
ZIP 63141-831
Phone: (314) 569-2201
Fax: (314) 569-2320

The provider's authorized official is Kenneth E Kram .
The authorized official title is Oral Surgeon and has the following contact phone number (314) 569-2201.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery13560MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T80996OTHERMISSOURIMEDICARE ID- TYPE UNSPECIFIED- DR ABRAMS
2111519OTHERMISSOURICIGNA HMO DR ABRAMS
3000010488MEDICARE PINMISSOURI
4111520OTHERMISSOURICIGNA HMO DR KRAM
529086OTHERMISSOURIBCBS MED DR KRAM
629075OTHERMISSOURIBCBS MED DR ABRAMS
7T70963OTHERMISSOURIMEDICARE ID- TYPE UNSPECIFIED- DR KRAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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