Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson City Oral and Maxillofacial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1760599732

Jefferson City Oral and Maxillofacial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Jefferson City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 SW Blvd Ste C
Jefferson City, MO 65109-2490
Phone: (573) 635-7216
Fax: (573) 635-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1760599732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Baker — Office Manager · (573) 635-7216
NPI enumeratedAugust 24, 2006
Last updated in NPPESJanuary 31, 2008
Mailing address1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490

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