Organization · Type 2 NPI

Oral & Maxillofacial Surgery Specialists, PA

Oral and Maxillofacial Surgery (Dentist) · Blaine, MN

NPI number 1467563510 Active

Practice location

11800 Aberdeen St NE Ste 130
Blaine, MN 55449-4813

Fax (763) 757-9204

Mailing address

550 County Road D, Suite 12
New Brighton, MN 55112

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 1467563510

Oral & Maxillofacial Surgery Specialists, PA's National Provider Identifier is 1467563510, issued on Aug 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Blaine, MN. The record was last updated on Jul 29, 2014.