Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS, PLLC
Active OrganizationNORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS, PLLC is a Oral and Maxillofacial Surgery Clinic organization located in COON RAPIDS, Minnesota. NPI 1245809458 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · COON RAPIDS, MN
Registration Details
- NPI Number
- 1245809458
- Provider Type
- Organization
- NPI Issued
- Jun 22, 2021 (4.9633624896701 yrs)
- Last Updated
- Jun 22, 2021
Practice Information
- Address
-
11441 OSAGE ST NWCOON RAPIDS, MN, 554333677Browse MN providers · Browse ZIP 55433
- Phone
- 7638626442
- Primary Specialty
-
Oral and Maxillofacial Surgery Clinic
261QS0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.