Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT LAKES ORAL & MAXILLOFACIAL SURGERY, P.A.
Active OrganizationGREAT LAKES ORAL & MAXILLOFACIAL SURGERY, P.A. is a Oral & Maxillofacial Surgery organization located in STILLWATER, Minnesota. NPI 1508058322 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · STILLWATER, MN
Registration Details
- NPI Number
- 1508058322
- Provider Type
- Organization
- NPI Issued
- Aug 15, 2007 (19.03797813097 yrs)
- Last Updated
- Oct 20, 2010
- License
-
10762 (MN)
Practice Information
- Address
-
2850 CURVE CREST BLVDSUITE 130STILLWATER, MN, 55082Browse MN providers · Browse ZIP 55082
- Phone
- 6513511010
- Fax
- 6513519333
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Organizations in STILLWATER, MN
| Name | NPI |
|---|---|
| ST CROIX ORAL, MAXILLOFACIAL & IMPLANT SURGERY, P.A. | 1427129717 |
| THE DENTAL SPECIALIST OF MINNESOTA, PLLC | 1265097653 |
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.