# FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Dodge Oral and Maxillofacial Surgery PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841324084
- **Authorized official:** ELIZABETH SCHRAUTH (OFFICE MANAGER)
- **Authorized official phone:** (515) 576-8727

## Contact information

- **Practice address:** 804 KENYON RD, STE 120, FORT DODGE, IA 50501-5742
- **Practice address phone:** (515) 576-8727
- **Practice address fax:** (515) 576-7076
- **Mailing address:** 804 KENYON RD STE 120, FORT DODGE, IA 50501-5746
- **Mailing address phone:** (515) 576-8727
- **Mailing address fax:** (515) 576-7076

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 12/29/2017