| The Center For Oral And Maxillofacial Surgery Llc | |
|
53 Doctors Park Cape Girardeau MO 63703-4927 | |
| (573) 335-0300 | |
| Not Available |
| Full Name | The Center For Oral And Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 53 Doctors Park, Cape Girardeau, Missouri |
| Authorized Official Name and Position | John Sheets (ORAL SURGEON) |
| Authorized Official Contact | 5733350300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Oral And Maxillofacial Surgery Llc 53 Doctors Park Cape Girardeau MO 63703-4927 Ph: () - | The Center For Oral And Maxillofacial Surgery Llc 53 Doctors Park Cape Girardeau MO 63703-4927 Ph: (573) 335-0300 |
| NPI Number | 1053446328 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153483086 |
|---|---|
| Medicare Enrollment ID | O20081230000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053446328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12546 (Missouri) | Primary |
| Provider Name | Randal L Begley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023049285 PECOS PAC ID: 2961564893 Enrollment ID: I20081230000579 |
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