ROSWELL ORAL & FACIAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Roswell, NM. 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. ROSWELL ORAL & FACIAL SURGERY, LLC NPI is 1518351790. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
207 N UNION AVE
STE E
ROSWELL, NM
ZIP 88201-068
Phone: (575) 623-5711
Fax: (575) 622-8922
The provider's authorized official is Bryce Heiner .
The authorized official title is Owner/surgeon and has the following contact phone number (575) 522-8800.
The CLIA number assigned to this NPI record is 32D1079150 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/25/2015 and was last updated on 3/25/2015.