| Affiliated Oral And Maxillofacial Surgeons P.a. | |
|
348 2nd St Suite 150 Excelsior MN 55331-1830 | |
| (952) 474-6336 | |
| (952) 474-2468 |
| Full Name | Affiliated Oral And Maxillofacial Surgeons P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 348 2nd St, Excelsior, Minnesota |
| Authorized Official Name and Position | Douglas A Carter (OWNER/PARTNER) |
| Authorized Official Contact | 9524746336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Oral And Maxillofacial Surgeons P.a. 348 2nd St Suite 150 Excelsior MN 55331-1830 Ph: (952) 474-6336 | Affiliated Oral And Maxillofacial Surgeons P.a. 348 2nd St Suite 150 Excelsior MN 55331-1830 Ph: (952) 474-6336 |
| NPI Number | 1366676553 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366676553 | NPI | - | NPPES |
| 315223500 | Medicaid | MN | |
| 352518000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Excelsior Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 2nd St, Suite 200, Excelsior, MN 55331 Phone: 952-474-6515 Fax: 952-474-1206 | |
Camp Smile Pediatric Dentistry Excelsior Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Water St Ste 2, Excelsior, MN 55331 Phone: 763-383-1788 | |
Kelly Bosworth, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6140 Lake Linden Dr, Suite 230, Excelsior, MN 55331 Phone: 952-474-4123 Fax: 952-401-3482 | |
Camp Smile Orthodontics Excelsior Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Water St Ste 2, Excelsior, MN 55331 Phone: 763-383-1788 | |
Town Dental, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 2nd St, Excelsior, MN 55331 Phone: 952-474-6133 | |
Town Dental, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 2nd St, Excelsior, MN 55331 Phone: 952-474-6133 Fax: 952-474-7361 |