Martin A Tahara
Oral and Maxillofacial Surgeon
1701 Curve Crest Blvd W Suite 108
Stillwater
, Minnesota 55082-6044
Martin A Tahara
Oral and Maxillofacial Surgeon
1701 Curve Crest Blvd W Suite 108
Stillwater
, Minnesota 55082-6044
(651) 351-0821
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Martin A Tahara
- 1701 Curve Crest Blvd W Suite 108
- Stillwater, MN
- Zip : 55082-6044
- Fax : (651) 351-0821
- Phone : (651) 439-8030
Second Address
- Martin A Tahara
- 1701 Curve Crest Blvd W Suite 108
- Stillwater, MN
- Zip : 55082-6044
- Fax : (651) 351-0821
- Phone : (651) 439-8030
Reviews
FAQs
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What type of doctor is Martin A Tahara
In what state does Martin A Tahara practice in?
Where is Martin A Tahara ’s practice located?
What is Martin A Tahara ’s gender?
Is Martin A Tahara a sole practitioner?
Is Martin A Tahara accepting new patients?
What languages does Martin A Tahara speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 5219-015 | WI |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D11409 | MN |
National Provider Identifier
| NPI | 1053381061 |
|---|---|
| Provider Name | Martin A Tahara |
| First Address | Stillwater, MN 55082-6044 |
| Second Address | Stillwater, MN 55082-6044 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 33761200 | (05) | WI |
| H32332 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.