Great Lakes Oral & Maxillofacial Surgery, P.a.
NPI #1508058322 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1508058322
- Entity Type
- Organization
- Organization Name
- Great Lakes Oral & Maxillofacial Surgery, P.a.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 15, 2007
- Last Updated
- Oct 20, 2010
Practice Location
- Address
- 2850 CURVE CREST BLVD
- Address 2
- SUITE 130
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082
- Phone
- (651) 351-1010
Authorized Official
- Name
- MRS. CONNIE LOUISE MILLER
- Title
- PRACTICE MANAGER
- Phone
- (651) 351-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
Similar Providers
Individual Providers
| Provider Name | |
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| Steven D Johnson, DDS |  AI Deep Dive |
| Martin A Tahara, DMD, MD | AI Deep Dive |
| MR. Richard William Brunton, D.D.S. | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| The Dental Specialist of Minnesota, Pllc | AI Deep Dive |
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