# SOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114217585
- **Authorized official:** DR. STEVE SCHOOLMAN DDS (OWNER)
- **Authorized official phone:** (573) 334-5566

## Contact information

- **Practice address:** 66 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
- **Practice address phone:** (573) 334-5566
- **Practice address fax:** (573) 334-9004
- **Mailing address:** 66 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
- **Mailing address phone:** (573) 334-5566
- **Mailing address fax:** (573) 334-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2003012137 | MO | Yes |

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 04/10/2024