VALLEY ORAL & FACIAL SURGERY PC
NPI 1093133696
Dentist - Oral and Maxillofacial Surgery in Grand Forks, ND
- Organization
- Dentist
- Oral and Maxillofacial Surgery
About VALLEY ORAL & FACIAL SURGERY PC
This page provides the complete NPI Profile along with additional information for Valley Oral & Facial Surgery Pc, a provider established in Grand Forks, North Dakota operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1093133696 assigned on April 2014. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Troy Richard Petersen Dmd Md (President)
- NPI
- 1093133696 Verify this NPI
- Provider Name
- VALLEY ORAL & FACIAL SURGERY PC
- Entity Type
- Organization
- Location Address
- 1165 S COLUMBIA RD STE C GRAND FORKS, ND 58201
- Location Phone
- (701) 772-7379
- Location Fax
- (701) 772-9643
- Mailing Address
- 3187 BLUESTEM DR STE 4 WEST FARGO, ND 58078
- Mailing Phone
- (701) 235-7379
- Mailing Fax
- (701) 235-0977
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2014
- Last Update Date
- 05-19-2014
- Code Navigator
A dentist like Valley Oral & Facial Surgery Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| N712544 | MEDICARE UPIN (02) | ND | |
| 41399 | MEDICAID (05) | ND | |
| 14082 | MEDICAID (05) | ND | |
| 497449200 | MEDICAID (05) | MN |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093133696, enumerated as an "organization" on April 01, 2014.
The provider is located at 1165 S COLUMBIA RD STE C GRAND FORKS, ND 58201 and the phone number is (701) 772-7379.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
