Oral & Maxillofacial Surgery Specialists, PA

NPI #1467563510 in Blaine, Minnesota

Provider Information

NPI Number: 1467563510
Entity Type: Organization
Organization Name: Oral & Maxillofacial Surgery Specialists, PA
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Aug 31, 2006
Last Updated: Jul 29, 2014

Practice Location

Address: 11800 ABERDEEN ST NE STE 130
City: Blaine
State: Minnesota
ZIP Code: 55449-4813
Phone: (763) 757-2220

Authorized Official

Name: KIRBY CHARLES JOHNSON, DDS
Title: PRESIDENT
Phone: (612) 788-9246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. David R Jennings, DDS	Dentist - Oral and Maxillofacial Surgery	Duluth	AI Deep Dive
Lawrence H Kent, DDS	Dentist - Oral and Maxillofacial Surgery	Roseville	AI Deep Dive
DR. Jerry Kent Brunsoman, D.D.S., M.S.	Dentist - Oral and Maxillofacial Surgery	Maplewood	AI Deep Dive
DR. Beth Ann Gavren, DDS	Dentist - Oral and Maxillofacial Surgery	Maple Grove	AI Deep Dive

Organizations

Provider Name	Specialty	City
Family Oral Surgery Specialists, Plc Part of Family Oral Surgery Specialists, Plc	Dentist - Oral and Maxillofacial Surgery	Blaine	AI Deep Dive

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