Organization · Type 2 NPI

Dental Specialists of Minnesota, PLLC

Oral and Maxillofacial Surgery (Dentist) · Coon Rapids, MN

NPI number 1396095048 Active

Practice location

3360 Northdale Blvd.
Coon Rapids, MN 55448-1825

Fax (952) 201-1183

Mailing address

2200 County Road C W, Suite 2210
Roseville, MN 55113-2550

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

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About NPI 1396095048

Dental Specialists of Minnesota, PLLC's National Provider Identifier is 1396095048, issued on Sep 10, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 21, 2022.