Organization · Type 2 NPI

ST Paul Oral Surgery and Dental Implants LLC

Oral and Maxillofacial Surgery (Dentist) · St. Paul, MN

NPI number 1043870645 Active

Practice location

2550 University Ave W Ste 115N
St. Paul, MN 55114-1097

Fax (651) 645-8326

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

Another provider at this address

Levi Zarbano, DDSOral and Maxillofacial Surgery (Dentist) St. Paul, MN NPI 1225458391

Other oral and maxillofacial surgery (dentist) providers in St. Paul

See all in St. Paul →

NPI record

NPI: 1043870645
Entity type: Organization (Type 2)
Issued: Jun 17, 2019
Last updated: May 2, 2022
Status: Active
Subpart: Yes of ST Paul Oral Surgery and Dental Implants LLC

Other names

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St. Paul Oral Surgery · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043870645

ST Paul Oral Surgery and Dental Implants LLC's National Provider Identifier is 1043870645, issued on Jun 17, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Paul, MN. The record was last updated on May 2, 2022.