Individual provider · Type 1 NPI

Mark R. Omlie, D.D.S.-M.D.

Oral and Maxillofacial Surgery (Dentist) · Edina, MN

NPI number 1942272489 Active

Practice location

7373 France Ave S, Suite 602
Edina, MN 55435-4534

Call (952) 835-5003 Map

Fax (952) 835-9598

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDO8081 (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 1942272489

Mark R. Omlie, D.D.S.-M.D.'s National Provider Identifier is 1942272489, issued on Feb 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Edina, MN. The record was last updated on Feb 6, 2014.