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THE ORAL SURGERY CENTER NPI 1104864529


NPI Information

NPI: 1104864529
Provider Name: THE ORAL SURGERY CENTER
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
748 BIELENBERG DRIVE
SUITE 160
WOODBURY, MN
ZIP 55125
Phone: (651) 233-2140
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THE ORAL SURGERY CENTER is an oral maxillofacial surgery in Woodbury, MN. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. THE ORAL SURGERY CENTER NPI is 1104864529. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

748 BIELENBERG DRIVE
SUITE 160
WOODBURY, MN
ZIP 55125
Phone: (651) 233-2140
Fax: (651) 738-9048

The provider's authorized official is Patty Barnard .
The authorized official title is Business Manager and has the following contact phone number (651) 233-2140.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryD11177MINNESOTANo
21223S0112XDentistOral and Maxillofacial SurgeryD11556MINNESOTANo
31223S0112XDentistOral and Maxillofacial Surgery3029015WISCONSINNo
41223S0112XDentistOral and Maxillofacial Surgery5898015WISCONSINNo
51223S0112XDentistOral and Maxillofacial Surgery5897015WISCONSINNo
61223S0112XDentistOral and Maxillofacial SurgeryD9744MINNESOTANo
7204E00000XOral & Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133797100MEDICAIDWISCONSIN
233797200MEDICAIDWISCONSIN
333797300MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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