Organization · Type 2 NPI
Edina Oral and Maxillofacial Surgery, P.a.
Oral and Maxillofacial Surgery (Dentist) · Edina, MN
NPI number
1275892218
Active
Practice location
6545 France Ave S, Suite 690
Edina, MN 55435-2131
Fax (952) 925-2529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D11128 (MN) |
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.
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About NPI 1275892218
Edina Oral and Maxillofacial Surgery, P.a.'s National Provider Identifier is 1275892218, issued on May 11, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Edina, MN. The record was last updated on May 11, 2012.