Organization · Type 2 NPI
Bluestone Oral and Maxillofacial Surgery, P.a.
Oral and Maxillofacial Surgery (Dentist) · Cloquet, MN
Practice location
1616 Cloquet Ave
Cloquet, MN 55720-1948
Fax (218) 879-6057
Mailing address
324 W Superior St, Suite 720
Duluth, MN 55802-1701
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 1326290727
Bluestone Oral and Maxillofacial Surgery, P.a.'s National Provider Identifier is 1326290727, issued on Oct 16, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cloquet, MN. The record was last updated on Oct 16, 2008.