Individual provider · Type 1 NPI

Christopher Michael Rae, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Maple Grove, MN

NPI number 1780010025 Active

Practice location

15785 95th Ave N
Maple Grove, MN 55369

Call (763) 233-4141 Map

Other practice locations

  • 15785 95th Ave N, Maple Grove, MN 55369 · (763) 233-4141

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X7117 (NE)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD14299 (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.

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About NPI 1780010025

Christopher Michael Rae, DDS, MD's National Provider Identifier is 1780010025, issued on Sep 18, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maple Grove, MN. The record was last updated on Aug 1, 2019.