Organization · Type 2 NPI
Minnesota Oral & Maxillofacial Surgery, P.a.
Oral and Maxillofacial Surgery (Dentist) · Plymouth, MN
NPI number
1578872685
Active
Practice location
15655 37th Ave. N., 280
Plymouth, MN 55446-4000
Fax (763) 520-1233
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Plymouth
About NPI 1578872685
Minnesota Oral & Maxillofacial Surgery, P.a.'s National Provider Identifier is 1578872685, issued on Oct 7, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Plymouth, MN. The record was last updated on Oct 30, 2014.