Organization · Type 2 NPI

Northside Minnesota Oral and Maxillofacial Surgeons, PLLC

Oral and Maxillofacial Surgery Clinic/Center · Coon Rapids, MN

NPI number 1245809458 Active

Practice location

11441 Osage St NW
Coon Rapids, MN 55433-3677

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: 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.

5 other providers at this address

About NPI 1245809458

Northside Minnesota Oral and Maxillofacial Surgeons, PLLC's National Provider Identifier is 1245809458, issued on Jun 22, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Coon Rapids, MN. The record was last updated on Jun 22, 2021.