Organization
THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Organization
THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHEETS (ORAL SURGEON)
(573) 785-8471
Entity
Organization
Contact information
Practice address
936 IDA ST, POPLAR BLUFF, MO 63901-4210
(573) 785-8471
Mailing address
936 IDA ST, POPLAR BLUFF, MO 63901-4210
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12546
MO
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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