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South Suburban Oral & Maxillofacial Surgeons Ltd
Oral and Maxillofacial Surgery (Dentist) in Burnsville, Minnesota
NPI 1134103674

South Suburban Oral & Maxillofacial Surgeons Ltd is a Oral and Maxillofacial Surgery (Dentist) based in Burnsville, MN and is specialized in Oral and Maxillofacial Surgery. South Suburban Oral & Maxillofacial Surgeons Ltd practices in Burnsville, MN. The NPI Number for South Suburban Oral & Maxillofacial Surgeons Ltd is 1134103674 and holds a License No. (Minnesota).

The current practice location address for South Suburban Oral & Maxillofacial Surgeons Ltd is 625 East Nicollet Boulevard, Burnsville, MN and can be reached out via phone at 952-435-0310 and via fax at 952-435-0311.

Location: 625 East Nicollet Boulevard, Burnsville, MN, 55337-6735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134103674
Provider Name
South Suburban Oral & Maxillofacial Surgeons Ltd
Credential
Provider Entity Type
Organization
Address
625 East Nicollet Boulevard, Burnsville, MN, 55337-6735
Phone Number
952-435-0310
Fax Number
952-435-0311
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6B299PA 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
625 East Nicollet Boulevard
City
Burnsville
State
Minnesota
Zip
55337-6735
Phone Number
952-435-0310
Fax Number
952-435-0311
person
Provider Business Mailing Address Details
Address
625 East Nicollet Boulevard
City
Burnsville
State
Minnesota
Zip
55337-6735
Phone Number
952-435-0310
Fax Number
952-435-0311
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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