Minnesota Maxillofacial And Oral Consultants in Plymouth - Oral And Maxillofacial Surgery
Minnesota Maxillofacial And Oral Consultants - NPI 1417034661
Minnesota Maxillofacial And Oral Consultants is a Oral And Maxillofacial Surgery in Plymouth, Minnesota. Minnesota Maxillofacial And Oral Consultants practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Minnesota Maxillofacial And Oral Consultants is 1417034661. The last update date is 2020-08-22.
Minnesota Maxillofacial And Oral Consultants's current location address is 15600 36th Ave N Ste 100, Plymouth, Minnesota. You can contact this provider via phone number 7635597688 and fax number 7635592237. The mailing address for Minnesota Maxillofacial And Oral Consultants is 15600 36th Ave N Ste 100, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Minnesota Maxillofacial And Oral Consultants |
|---|---|
| Address | 15600 36th Ave N Ste 100, Plymouth, Minnesota |
| Phone Number | 7635597688 |
| Fax Number | 7635592237 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rahimi Abdollah |
| Credentials | D.D.S. |
| Telephone Number | 7635597688 |
NPI Number Detail
| NPI Number | 1417034661 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15600 36th Ave N Ste 100 |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554463369 |
| Phone Number | 7635597688 |
| Fax Number | 7635592237 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D10465 |
|
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 |
|---|---|---|---|
| 52D13MI | MN | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Minnesota Maxillofacial And Oral Consultants by the Centers for Medicare & Medicaid Services?
The Minnesota Maxillofacial And Oral Consultants has been assigned the NPI (National Provider Identifier) 1417034661. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Minnesota Maxillofacial And Oral Consultants?
The Minnesota Maxillofacial And Oral Consultants is situated at 15600 36Th Ave N Ste 100, in the city of Plymouth, state of MN, with the zip code 554463369.
What is Minnesota Maxillofacial And Oral Consultants's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Minnesota Maxillofacial And Oral Consultants is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417034661 to Minnesota Maxillofacial And Oral Consultants?
The Centers for Medicare & Medicaid Services assigned the 1417034661 to Minnesota Maxillofacial And Oral Consultants on 2006-11-01.
When was the Minnesota Maxillofacial And Oral Consultants's information last updated?
The Minnesota Maxillofacial And Oral Consultants's information was last updated on 2020-08-22.