| Oral & Maxillofacial Surgery Specialists, Pa | |
|
550 County Road D Suite 12 New Brighton MN 55421 | |
| (612) 788-9246 | |
| (612) 788-5511 |
| Full Name | Oral & Maxillofacial Surgery Specialists, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 550 County Road D, New Brighton, Minnesota |
| Authorized Official Name and Position | Kirby Charles Johnson (PRESIDENT) |
| Authorized Official Contact | 6127889246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Specialists, Pa 550 County Road D Suite 12 New Brighton MN 55112 Ph: (651) 259-9902 | Oral & Maxillofacial Surgery Specialists, Pa 550 County Road D Suite 12 New Brighton MN 55421 Ph: (612) 788-9246 |
| NPI Number | 1982634010 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982634010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10472 (Minnesota) | Primary |
Theresa M. Snell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 5th Ave Nw Ste 100, New Brighton, MN 55112 Phone: 651-633-6087 | |
Ronald H Vescio Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2677 Innsbruck Dr Ste B, New Brighton, MN 55112 Phone: 651-631-3777 Fax: 651-631-2661 | |
Matthew D. Berg, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2193 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-3116 | |
Apple Tree Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 26th Ave Nw, New Brighton, MN 55112 Phone: 763-784-7993 | |
Long Lake Family Denistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 991 9th Ave Nw, New Brighton, MN 55112 Phone: 651-633-1311 Fax: 651-633-4339 | |
Dr My Pang Kou Vang Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2467 15th St Nw Ste A, New Brighton, MN 55112 Phone: 651-633-4883 | |
Silver Lake Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2370 Palmer Drive, New Brighton, MN 55112 Phone: 651-356-5424 |