St Croix Oral, Maxillofacial & Implant Surgery, P.a.
NPI #1427129717 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1427129717
- Entity Type
- Organization
- Organization Name
- St Croix Oral, Maxillofacial & Implant Surgery, P.a.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1701 CURVE CREST BLVD W
- Address 2
- SUITE 108
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6044
- Phone
- (651) 439-8030
Authorized Official
- Name
- DR. STEVEN D JOHNSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (651) 439-8030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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