Individual provider · Type 1 NPI
James Joseph Omlie, DDS
Oral and Maxillofacial Surgery (Dentist) · Edina, MN
NPI number
1336581297
Active
Practice location
7373 France Ave S Ste 602
Edina, MN 55435-4552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9846 (PA) |
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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- Kyle D. Tidstrom, DDSOral and Maxillofacial Surgery (Dentist) Edina, MN NPI 1659343119
- Jonathan Thomas Misner, DMDOral and Maxillofacial Surgery (Dentist) Edina, MN NPI 1689807901
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About NPI 1336581297
James Joseph Omlie, DDS's National Provider Identifier is 1336581297, issued on Jul 20, 2013. 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 Jan 9, 2025.