# COLUMBIA ORAL & MAXILLOFACIAL SURGERY LLC

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

## Provider details

- **NPI number:** 1770591752
- **Authorized official:** DR. JAMES ADAM ANDREWS MD DDS (OWNER)
- **Authorized official phone:** (573) 443-0466

## Contact information

- **Practice address:** 1000 W NIFONG BLVD, BLDG 4 STE 100, COLUMBIA, MO 65203-5661
- **Practice address phone:** (573) 443-0466
- **Practice address fax:** (573) 442-5417
- **Mailing address:** 1000 W NIFONG BLVD, BLDG 4 STE 100, COLUMBIA, MO 65203-5661
- **Mailing address phone:** (573) 443-0466
- **Mailing address fax:** (573) 442-5417

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020