Individual provider · Type 1 NPI
Connor Mahoney
Oral and Maxillofacial Surgery (Dentist) · Monticello, MN
NPI number
1891229761
Active
Practice location
9281 Cedar St
Monticello, MN 55362-4507
Mailing address
5000 Jandell Circle NE
St. Michael, MN 55376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | S186 (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 1891229761
Connor Mahoney's National Provider Identifier is 1891229761, issued on Apr 17, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Monticello, MN. The record was last updated on Aug 10, 2022.