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NORTHEAST ORAL & MAXILLOFACIAL SURGERY NPI 1316086465


NPI Information

NPI: 1316086465
Provider Name: NORTHEAST ORAL & MAXILLOFACIAL SURGERY
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization

CLIA Number: 45D0920839

Address:
23051 KINGWOOD PLACE DR
BLDG A, STE 100
KINGWOOD, TX
ZIP 77339
Phone: (281) 358-2997
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NORTHEAST ORAL & MAXILLOFACIAL SURGERY is an oral maxillofacial surgery in Kingwood, TX. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NORTHEAST ORAL & MAXILLOFACIAL SURGERY NPI is 1316086465. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23051 KINGWOOD PLACE DR
BLDG A, STE 100
KINGWOOD, TX
ZIP 77339
Phone: (281) 358-2997
Fax: (281) 358-5632

The provider's authorized official is Robert F Stanton .
The authorized official title is Owner/operator and has the following contact phone number (281) 358-2997.

The CLIA number assigned to this NPI record is 45D0920839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 4/3/2020.


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
1204E00000XOral & Maxillofacial Surgery16440TEXASNo
2204E00000XOral & Maxillofacial Surgery14816TEXASYes

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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