Organization · Type 2 NPI

Oral and Maxillofacial Surgical Associates PA

Oral and Maxillofacial Surgery (Dentist) · Duluth, MN

NPI number 1104911056 Active

Practice location

1000 E 1st St Ste 108
Duluth, MN 55805-2297

Fax (218) 722-6424

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

3 other providers at this address

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About NPI 1104911056

Oral and Maxillofacial Surgical Associates PA's National Provider Identifier is 1104911056, issued on Oct 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Duluth, MN. The record was last updated on Feb 6, 2025.