VALLEY ORAL & FACIAL SURGERY PC
NPI 1396978136
Clinic/Center - Oral and Maxillofacial Surgery in Fargo, ND
- 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
- Code Navigator
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
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.
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Other Providers at the Same Location
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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.