Face And Jaw Surgeons Pc
Oral and Maxillofacial Dental Clinic
1140 W Capitol Ave, Bismarck
North Dakota, 58501-9956
701-258-7220 701-222-2329
Maps & DirectionsFace And Jaw Surgeons Pc is a Oral and Maxillofacial Dental Clinic in Bismarck, North Dakota. It is located at 1140 W Capitol Ave, Bismarck, ND and its contact number is 701-258-7220. The authorized person for Face And Jaw Surgeons Pc is Joseph R Deatherage
who is Dmd Md of the clinic and their contact number is 701-258-7220.
Face And Jaw Surgeons Pc Clinic deals with 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.
Complete Clinic Profile:
Face And Jaw Surgeons Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Face And Jaw Surgeons Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1140 W Capitol Ave, Bismarck,
North Dakota, 58501-9956 |
| Phone: | 701-258-7220 |
| Fax: | 701-222-2329 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Joseph R Deatherage |
| Position: | Dmd Md |
| Contact Number: | 701-258-7220 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Face And Jaw Surgeons Pc clinic are as mentioned below.
| NPI Number: | 1184667305 |
| NPI Enumeration Date: | 14 Jun, 2006 |
| NPI Last Update On: | 25 Apr, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Face And Jaw Surgeons Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 41124 | Medicaid | North Dakota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Face And Jaw Surgeons Pc
1730 Burnt Boat Dr Ste 300,
Bismarck, North Dakota |
| Zip: | 58503-0886 |
| Phone Number: | 701-258-7220 |
| Fax Number: | 701-222-2329 |
Patients can reach Face And Jaw Surgeons Pc at
1140 W Capitol Ave, Bismarck, North Dakota or can
call to book an appointment on 701-258-7220.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.