VALLEY ORAL & FACIAL SURGERY PC
NPI 1396978136
Clinic/Center - Oral and Maxillofacial Surgery in Fargo, ND

Active since August 27, 2009
2701 9TH AVE S STE F, FARGO, ND 58103(701) 772-7379(701) 772-9643 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • 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 Fargo, North Dakota operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1396978136 assigned on August 2009. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Troy Richard Petersen Dmd Md (President)

NPI
1396978136 Verify this NPI
Provider Name
VALLEY ORAL & FACIAL SURGERY PC
Entity Type
Organization
Location Address
2701 9TH AVE S STE F FARGO, ND 58103
Location Phone
(701) 772-7379
Location Fax
(701) 772-9643
Mailing Address
2701 9TH AVE S STE F FARGO, ND 58103
Mailing Phone
(701) 772-7379
Mailing Fax
(701) 772-9643
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2009
Last Update Date
08-27-2009
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TROY RICHARD PETERSEN DMD MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(701) 772-7379

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
2701 9TH AVE S STE F
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396978136, enumerated as an "organization" on August 27, 2009.

The provider is located at 2701 9TH AVE S STE F FARGO, ND 58103 and the phone number is (701) 772-7379.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.