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FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA NPI 1992877088


NPI Information

NPI: 1992877088
Provider Name: FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
7373 FRANCE AVE S
SUITE 410
EDINA, MN
ZIP 55435
Phone: (952) 844-0404
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FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA is a plastic surgery within the head and neck plastic surgery in Edina, MN. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA NPI is 1992877088. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7373 FRANCE AVE S
SUITE 410
EDINA, MN
ZIP 55435-534
Phone: (952) 844-0404

The provider's authorized official is Jyl R Dinville .
The authorized official title is Physician Coding & Reimbursement and has the following contact phone number (402) 397-5462.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 6/24/2008.


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
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck23875MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1040000272MEDICARE PINMINNESOTA
234040OTHERHEALTHPARTNERS
3A95244MEDICARE UPIN
4HP13518OTHERHEALTHPARTNERS
51300010OTHERMEDICA CHOICE
6GROUP # PENDINGMEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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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