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TRUE NORTH ORAL SURGERY AND IMPLANTS PLLC NPI 1285179945


NPI Information

NPI: 1285179945
Provider Name: TRUE NORTH ORAL SURGERY AND IMPLANTS PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
9950 VALLEY CREEK RD
SUITE 100
WOODBURY, MN
ZIP 55125
Phone: (651) 578-7000
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TRUE NORTH ORAL SURGERY AND IMPLANTS PLLC is an oral and maxillofacial surgery dentist in Woodbury, 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. TRUE NORTH ORAL SURGERY AND IMPLANTS PLLC NPI is 1285179945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9950 VALLEY CREEK RD
SUITE 100
WOODBURY, MN
ZIP 55125-883
Phone: (651) 578-7000
Fax: (651) 578-0157

The provider's authorized official is Marshall Lloyd Wade .
The authorized official title is Oral Surgeon/president and has the following contact phone number (651) 578-7000.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 4/12/2017.


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 SurgeryD9734MINNESOTAYes

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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