Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC
Active OrganizationNORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC is a Oral and Maxillofacial Surgery Clinic organization located in ST LOUIS PARK, Minnesota. NPI 1699901140 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1699901140
- Provider Type
- Organization
- NPI Issued
- Jun 10, 2009 (16.995929543987 yrs)
- Last Updated
- Jun 23, 2014
- License
-
D11399 (MN)
Practice Information
- Address
-
5100 GAMBLE DRSUITE 125ST LOUIS PARK, MN, 554161585Browse MN providers · Browse ZIP 55416
- Phone
- 9524650105
- Fax
- 9524650106
- 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.