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IMPLANT&MAXILLOFACIAL SURGICAL CENTER
NPI 1255759650
Dentist - Oral and Maxillofacial Surgery in Williston, ND

Active since April 02, 2014
2224 1ST AVE W STE 2, WILLISTON, ND 58801(701) 721-5254 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Implant&maxillofacial Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPLANT&MAXILLOFACIAL SURGICAL CENTER (NPI 1255759650) is a healthcare organization registered as an oral and maxillofacial surgery in Williston, North Dakota and active in the NPI registry since April 2014. The organization lists Juan J. Ulloa, Oral&maxillofacial Surgeon/owner, as its authorized official.

NPPES Registry Identity

NPI1255759650
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameIMPLANT&MAXILLOFACIAL SURGICAL CENTER
Location Address2224 1ST AVE W STE 2Williston, ND 58801-6286
Mailing Address2224 1st Ave W Ste 2Williston, ND 58801-6286 · (701) 721-5254
Phone(701) 721-5254
Organization SubpartNo
Authorized OfficialJuan J. UlloaOral&maxillofacial Surgeon/owner · (701) 721-5254
Enumeration DateApril 2, 2014
✔ NPI 1255759650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ND · 1993
Definition
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.
2224 1ST AVE W STE 2, Williston, ND 58801
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Other Identifiers 1

Other1811196504Personal Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Implant&maxillofacial Surgical Center's NPI number?

The NPI number for Implant&maxillofacial Surgical Center is 1255759650. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Implant&maxillofacial Surgical Center located?

Implant&maxillofacial Surgical Center is located at 2224 1st Ave W Ste 2, Williston, ND 58801. The listed phone number is (701) 721-5254.

What is Implant&maxillofacial Surgical Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Implant&maxillofacial Surgical Center was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.