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MIDTLING ORAL & MAXILLOFACIAL SURGERY PA NPI 1427237551


NPI Information

NPI: 1427237551
Provider Name: MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
155 WABASHA ST S
SUITE 111
SAINT PAUL, MN
ZIP 55107
Phone: (651) 222-6396
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MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA is an oral and maxillofacial surgery clinic center in Saint Paul, MN. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA NPI is 1427237551. The provider is registered as an organization entity type.

The provider's business location address is:

155 WABASHA ST S
SUITE 111
SAINT PAUL, MN
ZIP 55107-801
Phone: (651) 222-6396
Fax: (651) 215-3189

The provider's authorized official is James I Midtling .
The authorized official title is Owner and has the following contact phone number (651) 222-6396.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/25/2007.


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
1261QS0112XClinic/CenterOral and Maxillofacial Surgery10555MINNESOTAYes

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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