Oral & Maxillofacial Surgery Specialists, Pa in Maple Grove - Oral And Maxillofacial Surgery
Oral & Maxillofacial Surgery Specialists, Pa - NPI 1902917057
Oral & Maxillofacial Surgery Specialists, Pa is a Oral And Maxillofacial Surgery in Maple Grove, 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 1902917057. The last update date is 2014-07-29.
Oral & Maxillofacial Surgery Specialists, Pa's current location address is 13784 83rd Way N Ste 92, Maple Grove, Minnesota. You can contact this provider via phone number 7634948825 and fax number 7634943269. The mailing address for Oral & Maxillofacial Surgery Specialists, Pa is 13784 83rd Way N Ste 92, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral & Maxillofacial Surgery Specialists, Pa |
|---|---|
| Address | 13784 83rd Way N Ste 92, Maple Grove, Minnesota |
| Phone Number | 7634948825 |
| Fax Number | 7634943269 |
| 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 | 1902917057 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
| Address | 13784 83rd Way N Ste 92 |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553697191 |
| Phone Number | 7634948825 |
| Fax Number | 7634943269 |
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 |
|---|---|---|---|
| 1912928789 | MN | NPI |
Post Comment/ Review Below
What is the unique identifier 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) 1902917057. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Oral & Maxillofacial Surgery Specialists, Pa?
The Oral & Maxillofacial Surgery Specialists, Pa is physically situated at 13784 83Rd Way N Ste 92, in the city of Maple Grove, state of MN, with the postal code 553697191.
What is the area of specialization for Oral & Maxillofacial Surgery Specialists, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Oral & Maxillofacial Surgery Specialists, Pa is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Oral & Maxillofacial Surgery Specialists, Pa receive the assignment of its 1902917057 from the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgery Specialists, Pa was issued its 1902917057 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the Oral & Maxillofacial Surgery Specialists, Pa's information last updated?
The Oral & Maxillofacial Surgery Specialists, Pa's information was last updated on 2014-07-29.
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