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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS

Active Organization

SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS is a Orthodontics & Dentofacial Orthopedics organization located in MEDFORD, Oregon. NPI 1093746174 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · MEDFORD, OR

Registration Details

NPI Number
1093746174
Provider Type
Organization
NPI Issued
Jul 6, 2006 (20.140443406116 yrs)
Last Updated
Aug 22, 2020
License
D7720 (OR)

Practice Information

Address
3162 STATE ST
MEDFORD, OR, 975048450
Browse OR providers · Browse ZIP 97504
Phone
5417791184
Fax
5417739885
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.