St Paul Oral Surgery and Dental Implants LLC
NPI #1043870645 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1043870645
- Entity Type
- Organization
- Organization Name
- St Paul Oral Surgery and Dental Implants LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 17, 2019
- Last Updated
- May 2, 2022
Practice Location
- Address
- 2550 UNIVERSITY AVE W STE 115N
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55114-1097
- Phone
- (651) 645-6429
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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