Organization · Type 2 NPI
Advanced Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · Lakeville, MN
NPI number
1295218303
Active
Practice location
19925 Idealic Ave
Lakeville, MN 55044-2003
Mailing address
19318 Impala Ave
Lakeville, MN 55044-1600
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.
About NPI 1295218303
Advanced Oral Surgery's National Provider Identifier is 1295218303, issued on Sep 13, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lakeville, MN. The record was last updated on Sep 13, 2018.