South Suburban Oral & Maxillofacial Surgeons Ltd in Burnsville - Oral And Maxillofacial Surgery
South Suburban Oral & Maxillofacial Surgeons Ltd - NPI 1134103674
South Suburban Oral & Maxillofacial Surgeons Ltd is a Oral And Maxillofacial Surgery in Burnsville, Minnesota. South Suburban Oral & Maxillofacial Surgeons Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for South Suburban Oral & Maxillofacial Surgeons Ltd is 1134103674. The last update date is 2020-08-22.
South Suburban Oral & Maxillofacial Surgeons Ltd's current location address is 625 East Nicollet Boulevard, Burnsville, Minnesota. You can contact this provider via phone number 9524350310 and fax number 9524350311. The mailing address for South Suburban Oral & Maxillofacial Surgeons Ltd is 625 East Nicollet Boulevard, Burnsville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Suburban Oral & Maxillofacial Surgeons Ltd |
|---|---|
| Address | 625 East Nicollet Boulevard, Burnsville, Minnesota |
| Phone Number | 9524350310 |
| Fax Number | 9524350311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Palmersheim A Lawrence |
| Credentials | DDS |
| Telephone Number | 9524350310 |
NPI Number Detail
| NPI Number | 1134103674 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 625 East Nicollet Boulevard |
|---|---|
| City | Burnsville |
| State | Minnesota (MN) |
| Post Code | 553376735 |
| Phone Number | 9524350310 |
| Fax Number | 9524350311 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6B299PA | MN | BCBS |
Post Comment/ Review Below
What is the South Suburban Oral & Maxillofacial Surgeons Ltd's unique identification number?
The South Suburban Oral & Maxillofacial Surgeons Ltd has been assigned the NPI (National Provider Identifier) Number 1134103674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where South Suburban Oral & Maxillofacial Surgeons Ltd is physically located?
The South Suburban Oral & Maxillofacial Surgeons Ltd is situated at the following address: 625 East Nicollet Boulevard, Burnsville, MN 553376735.
What is South Suburban Oral & Maxillofacial Surgeons Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Suburban Oral & Maxillofacial Surgeons Ltd is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134103674 to South Suburban Oral & Maxillofacial Surgeons Ltd?
The South Suburban Oral & Maxillofacial Surgeons Ltd received its 1134103674 assignment from the Centers for Medicare & Medicaid Services on 2005-11-29.
When was the information regarding South Suburban Oral & Maxillofacial Surgeons Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Suburban Oral & Maxillofacial Surgeons Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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