OrganizationActive
Jefferson City Oral and Maxillofacial Surgery, LLC
NPI 1760599732 · Oral and Maxillofacial Surgery (Dentist) · Jefferson City, MO
Provider details
- NPI number
- 1760599732
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Dana Baker, Office Manager(573) 635-7216
Specialties & taxonomies
Dental Providers
Practice location
1400 Southwest Blvd
Suite C
Jefferson City, MO 65109-2490
Phone: (573) 635-7216
Fax: (573) 635-2646
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Southwest Blvd
Jefferson City, MO 65109-2490
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2008-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.