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JEFFERSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI 1760599732
Dentist - Oral and Maxillofacial Surgery in Jefferson City, MO

Active since August 24, 2006
1400 SOUTHWEST BLVD, SUITE C, JEFFERSON CITY, MO 65109(573) 635-7216(573) 635-2646 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jefferson City Oral And Maxillofacial Surgery, Llc NPPES

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

JEFFERSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI 1760599732) is a healthcare organization registered as an oral and maxillofacial surgery in Jefferson City, Missouri and active in the NPI registry since August 2006. The organization lists Dana Kay Baker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760599732
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJEFFERSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
Location Address1400 SOUTHWEST BLVD, SUITE CJefferson City, MO 65109-2490
Mailing Address1400 Southwest Blvd, Suite CJefferson City, MO 65109-2490 · (573) 635-7216 · Fax (573) 635-2646
Phone(573) 635-7216
Fax(573) 635-2646
Organization SubpartNo
Authorized OfficialDana Kay BakerOffice Manager · (573) 635-7216
Enumeration DateAugust 24, 2006
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1760599732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
1400 SOUTHWEST BLVD, Jefferson City, MO 65109
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN L WHIPPLE JR. DDS
Dentist (General Practice)
1400 SOUTHWEST BLVD, SUITE A
JEFFERSON CITY, MO 65109
Cole County (573) 634-4909
DR. RICHARD FRANCIS GRAHAM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1400 SOUTHWEST BLVD, SUITE C
JEFFERSON CITY, MO 65109
Cole County (573) 635-7216
DR. JONATHAN GRANT HANSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1400 SOUTHWEST BLVD, SUITE C
JEFFERSON CITY, MO 65109
Cole County (573) 635-7216
DR. THOMAS RYAN ORME DDS
Dentist
1400 SOUTHWEST BLVD, SUITE A
JEFFERSON CITY, MO 65109
Cole County (573) 634-4909

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 Jefferson City Oral And Maxillofacial Surgery, LLC's NPI number?

The NPI number for Jefferson City Oral And Maxillofacial Surgery, LLC is 1760599732. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Jefferson City Oral And Maxillofacial Surgery, LLC located?

Jefferson City Oral And Maxillofacial Surgery, LLC is located at 1400 Southwest Blvd Suite C, Jefferson City, MO 65109. The listed phone number is (573) 635-7216.

What is Jefferson City Oral And Maxillofacial Surgery, LLC'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 Jefferson City Oral And Maxillofacial Surgery, LLC was last updated on January 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.