The Oral Surgery Center in Woodbury - Oral And Maxillofacial Surgery
The Oral Surgery Center - NPI 1104864529
The Oral Surgery Center is a Oral And Maxillofacial Surgery in Woodbury, Minnesota. The Oral Surgery Center practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for The Oral Surgery Center is 1104864529. The last update date is 2022-09-23.
The Oral Surgery Center's current location address is 748 Bielenberg Drive, Woodbury, Minnesota. You can contact this provider via phone number 6512332140 and fax number 6517389048. The mailing address for The Oral Surgery Center is 748 Bielenberg Drive, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Oral Surgery Center |
---|---|
Address | 748 Bielenberg Drive, Woodbury, Minnesota |
Phone Number | 6512332140 |
Fax Number | 6517389048 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | BUSINESS M |
---|---|
Authorized Official Name | Barnard Patty |
Telephone Number | 6512332140 |
NPI Number Detail
NPI Number | 1104864529 |
---|---|
Provider Enumeration Date | 2006-06-04 |
Last Updated Date | 2022-09-23 |
Provider Mailing Address Detail
Address | 748 Bielenberg Drive |
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City | Woodbury |
State | Minnesota (MN) |
Post Code | 55125 |
Phone Number | 6512332140 |
Fax Number | 6517389048 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
---|---|
Taxonomy | 1223S0112X |
Licence No | D11177 |
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 |
---|---|---|---|
33797100 | WI | -- | |
33797200 | WI | -- | |
33797300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to The Oral Surgery Center by the Centers for Medicare & Medicaid Services (CMS)?
The The Oral Surgery Center has been assigned the NPI (National Provider Identifier) 1104864529. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where The Oral Surgery Center is located?
The The Oral Surgery Center is situated at the following address: 748 Bielenberg Drive, Woodbury, MN, 55125.
What is the The Oral Surgery Center's specialty and taxonomy code?
The The Oral Surgery Center's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the The Oral Surgery Center receive its 1104864529 assignment from the Centers for Medicare & Medicaid Services?
The The Oral Surgery Center was assigned its 1104864529 by the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the information related to The Oral Surgery Center most recently updated or refreshed?
The details pertaining to the The Oral Surgery Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-09-23.
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