Oral & Maxillofacial Surgery Specialists, Pa in Blaine - Oral And Maxillofacial Surgery
Oral & Maxillofacial Surgery Specialists, Pa - NPI 1467563510
Oral & Maxillofacial Surgery Specialists, Pa is a Oral And Maxillofacial Surgery in Blaine, Minnesota. Oral & Maxillofacial Surgery Specialists, Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral & Maxillofacial Surgery Specialists, Pa is 1467563510. The last update date is 2014-07-29.
Oral & Maxillofacial Surgery Specialists, Pa's current location address is 11800 Aberdeen St Ne Ste 130, Blaine, Minnesota. You can contact this provider via phone number 7637572220 and fax number 7637579204. The mailing address for Oral & Maxillofacial Surgery Specialists, Pa is 11800 Aberdeen St Ne Ste 130, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral & Maxillofacial Surgery Specialists, Pa |
|---|---|
| Address | 11800 Aberdeen St Ne Ste 130, Blaine, Minnesota |
| Phone Number | 7637572220 |
| Fax Number | 7637579204 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson Charles Kirby |
| Credentials | DDS |
| Telephone Number | 6127889246 |
NPI Number Detail
| NPI Number | 1467563510 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
| Address | 11800 Aberdeen St Ne Ste 130 |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 554494813 |
| Phone Number | 7637572220 |
| Fax Number | 7637579204 |
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Oral & Maxillofacial Surgery Specialists, Pa by the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgery Specialists, Pa has been assigned the NPI (National Provider Identifier) 1467563510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Oral & Maxillofacial Surgery Specialists, Pa's physical address?
The Oral & Maxillofacial Surgery Specialists, Pa is physically located at 11800 Aberdeen St Ne Ste 130, in the city of Blaine, MN, with the postal code 554494813.
What is Oral & Maxillofacial Surgery Specialists, Pa'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 Oral & Maxillofacial Surgery Specialists, Pa is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Oral & Maxillofacial Surgery Specialists, Pa receive the assignment of its 1467563510 from the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgery Specialists, Pa was issued its 1467563510 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Oral & Maxillofacial Surgery Specialists, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Oral & Maxillofacial Surgery Specialists, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-29.