CRANIOFACIAL IMAGING NPI 1285768812

NPI Information

  • NPI: 1285768812
  • Provider Name: CRANIOFACIAL IMAGING
  • Classification: Dentist - 1223X0008X
  • Specialization: Oral and Maxillofacial Radiology
  • Entity Type: Organization
  • Address: 6545 FRANCE AVE S STE C61
    EDINA, MN
    ZIP 55435
  • Phone: (952) 926-1626

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NPI Details

CRANIOFACIAL IMAGING is an oral and maxillofacial radiology dentist in Edina, MN. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. CRANIOFACIAL IMAGING NPI is 1285768812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6545 FRANCE AVE S STE C61
EDINA, MN
ZIP 55435-157
Phone: (952) 926-1626

The provider's authorized official is Scott R Bowlby .
The authorized official title is General Partner and has the following contact phone number (952) 926-1626.

The enumeration date for this NPI number is 3/15/2007 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
11223X0008XDentistOral and Maxillofacial RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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