Organization · Type 2 NPI
Oral & Maxillofacial Surgery Specialists, PA
Oral and Maxillofacial Surgery (Dentist) · New Brighton, MN
Practice location
550 County Road D, Suite 12
New Brighton, MN 55421
Fax (612) 788-5511
Mailing address
550 County Road D, Suite 12
New Brighton, MN 55112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10472 (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.
About NPI 1982634010
Oral & Maxillofacial Surgery Specialists, PA's National Provider Identifier is 1982634010, issued on Jul 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New Brighton, MN. The record was last updated on Jul 29, 2014.