Oral & Maxillofacial Surgery Specialists, Pa, NPI 1982634010
Oral and Maxillofacial Surgery (Dentist) in New Brighton, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1982634010
NPI Entity Type Organization
Provider Name Oral & Maxillofacial Surgery Specialists, Pa
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 550 County Road D, Suite 12, New Brighton, MN, US
Provider Mailing Address 550 County Road D, Suite 12, New Brighton, MN, US, 55112
Is Sole Proprietor? No
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Organization Official

Official Name DDS Kirby Charles Johnson
Official Position PRESIDENT
Phone 612-788-9246

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223S0112X

Taxonomy Name Oral and Maxillofacial Surgery (Dentist)
Classification

Dentist

Group

Dental Providers

License No. 10472
License State MN
Description 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.

Other Organization Name

OMS Specialists
Doing Business As

Business Address

Oral & Maxillofacial Surgery Specialists, Pa
550 County Road D
Suite 12

New Brighton, MN, US

Phone: 612-788-9246
Fax: 612-788-5511

Mailing Address

Oral & Maxillofacial Surgery Specialists, Pa
550 County Road D
Suite 12
New Brighton, MN, US
ZIP 55112
Phone: 651-259-9902
Fax: 651-259-9930

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