Organization · Type 2 NPI
St. Paul Oral Surgery, P.a.
Oral and Maxillofacial Surgery (Dentist) · South St. Paul, MN
NPI number
1548218910
Active
Practice location
710 19th Ave N, Suite 300
South St. Paul, MN 55075-1359
Fax (651) 451-8010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7933 (MN) |
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.
2 other providers at this address
About NPI 1548218910
St. Paul Oral Surgery, P.a.'s National Provider Identifier is 1548218910, issued on May 5, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in South St. Paul, MN. The record was last updated on Aug 22, 2020.