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TWIN CITIES ORAL & MAXILLOFAICAL SURGERY PA NPI 1154522373


NPI Information

NPI: 1154522373
Provider Name: TWIN CITIES ORAL & MAXILLOFAICAL SURGERY PA
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1790 LEXINGTON AVE N
ROSEVILLE, MN
ZIP 55113
Phone: (651) 488-9884
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TWIN CITIES ORAL & MAXILLOFAICAL SURGERY PA is an oral and maxillofacial surgery clinic center in Roseville, 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. TWIN CITIES ORAL & MAXILLOFAICAL SURGERY PA NPI is 1154522373. The provider is registered as an organization entity type.

The provider's business location address is:

1790 LEXINGTON AVE N
ROSEVILLE, MN
ZIP 55113-167
Phone: (651) 488-9884

The provider's authorized official is Shirley Herding .
The authorized official title is Office Manager and has the following contact phone number (651) 488-9884.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral 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: 5/5/2024

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