# FACE AND JAW SURGEONS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FACE AND JAW SURGEONS PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396343737
- **Legal business name:** FACE AND JAW SURGEONS PC
- **Authorized official:** MELINDA KLEINJAN (OFFICE MANAGER)
- **Authorized official phone:** (701) 258-7220

## Contact information

- **Practice address:** 1517 12 AVE NE, JAMESTOWN, ND 58401
- **Practice address phone:** (701) 239-5969
- **Mailing address:** 4344 20TH AVE S STE 2, FARGO, ND 58103-7436
- **Mailing address phone:** (701) 239-5969
- **Mailing address fax:** (701) 239-0034

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2020
- **Last updated:** 10/16/2020