Oral & Maxillofacial Surgery Specialists, Pa in New Brighton - Oral And Maxillofacial Surgery
Oral & Maxillofacial Surgery Specialists, Pa - NPI 1982634010
Oral & Maxillofacial Surgery Specialists, Pa is a Oral And Maxillofacial Surgery in New Brighton, 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 1982634010. The last update date is 2014-07-29.
Oral & Maxillofacial Surgery Specialists, Pa's current location address is 550 County Road D, New Brighton, Minnesota. You can contact this provider via phone number 6512599902 and fax number 6512599930. The mailing address for Oral & Maxillofacial Surgery Specialists, Pa is 550 County Road D, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral & Maxillofacial Surgery Specialists, Pa |
|---|---|
| Address | 550 County Road D, New Brighton, Minnesota |
| Phone Number | 6512599902 |
| Fax Number | 6512599930 |
| 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 | 1982634010 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
| Address | 550 County Road D |
|---|---|
| City | New Brighton |
| State | Minnesota (MN) |
| Post Code | 55112 |
| Phone Number | 6512599902 |
| Fax Number | 6512599930 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 10472 |
|
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 Oral & Maxillofacial Surgery Specialists, Pa's unique identification number?
The Oral & Maxillofacial Surgery Specialists, Pa has been assigned the NPI (National Provider Identifier) Number 1982634010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Oral & Maxillofacial Surgery Specialists, Pa is geographically located?
The Oral & Maxillofacial Surgery Specialists, Pa is physically situated at the following location: 550 County Road D, New Brighton, MN, 55112.
What is the Oral & Maxillofacial Surgery Specialists, Pa's specialty and taxonomy code?
The Oral & Maxillofacial Surgery Specialists, Pa's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Oral & Maxillofacial Surgery Specialists, Pa receive the assignment of its 1982634010 from the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgery Specialists, Pa was issued its 1982634010 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date was the information pertaining to Oral & Maxillofacial Surgery Specialists, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Oral & Maxillofacial Surgery Specialists, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-29.