Organization · Type 2 NPI
Institute of Facial Surgery ST Paul
Oral and Maxillofacial Surgery (Dentist) · Maplewood, MN
NPI number
1689723686
Active
Practice location
1774 Cope Ave E, Suite 140
Maplewood, MN 55109-2662
Fax (651) 748-3704
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.
3 other providers at this address
About NPI 1689723686
Institute of Facial Surgery ST Paul's National Provider Identifier is 1689723686, issued on Jan 9, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maplewood, MN. The record was last updated on Aug 22, 2020.