Individual provider · Type 1 NPI

Patricia Ann Koning, DDS

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

NPI number 1861672255 Active

Practice location

15785 95th Ave N
Maple Grove, MN 55369-4404

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XS130 (MN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X016.0046369 (VT)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2901018845 (MI)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X019.028235 (IL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE 60145015 (WA)

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 1861672255

Patricia Ann Koning, DDS's National Provider Identifier is 1861672255, issued on Nov 14, 2007. 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 Jul 12, 2024.