Provider Type Icon

ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC NPI 1043870645


NPI Information

NPI: 1043870645
Provider Name: ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC

Doing Business As: ST. PAUL ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2550 UNIVERSITY AVE W STE 115N
SAINT PAUL, MN
ZIP 55114
Phone: (651) 645-6429
Get Directions

ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC is an oral and maxillofacial surgery dentist in Saint Paul, MN. The provider is an oral and maxillofacial surgery dentist 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. ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC NPI is 1043870645. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Paul Oral Surgery.

The provider's business location address is:

2550 UNIVERSITY AVE W STE 115N
SAINT PAUL, MN
ZIP 55114-097
Phone: (651) 645-6429
Fax: (651) 645-8326

The provider's authorized official is Celia Hayes .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-2100.

The enumeration date for this NPI number is 6/17/2019 and was last updated on 5/2/2022.


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 SurgeryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.