Implant&Maxillofacial Surgical Center

LBN: Implant&Maxillofacial Surgical Center
Implant&Maxillofacial Surgical Center is an health care organization with primary practice located at 2224 1St Ave W Ste 2 , Williston ND 58801-6286. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Implant&Maxillofacial Surgical Center can be contacted via phone (701) 721-5254, or through Ulloa, Juan J. via phone (701) 721-5254.

Contact Information

Primary practice address
2224 1St Ave W Ste 2 Williston ND 58801-6286
Phone: (701) 721-5254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ulloa, Juan J. Doctor of Dental Surgery (DDS)
Phone: (701) 721-5254

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1993 North Dakota

Profile Details

NPI number 1255759650
LBN Legal business name Implant&Maxillofacial Surgical Center
DBA Doing business as
Authorized official Ulloa, Juan J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2014
Last updated Apr 2nd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255759650 NPPES
Other 1811196504 PERSONAL NPI

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