| NPI | 1376592949 |
|---|---|
| Doing Business As | ORAL & FACIAL SURGERY CENTER OF JOPLIN |
| Entity Type | Organization |
| Authorized Contact | BRADLEY R BURNETT President 417-621-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 2005005794) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223E0200X Dentist, Endodontics | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 1223E0200X Dentist, Endodontics (Licence: MO 010761) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-11-23 |