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Bluestone Oral And Maxillofacial Surgery, P.a.
Oral and Maxillofacial Surgery (Dentist) in Cloquet, Minnesota
NPI 1326290727

Bluestone Oral And Maxillofacial Surgery, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Duluth, MN and is specialized in Oral and Maxillofacial Surgery. Bluestone Oral And Maxillofacial Surgery, P.a. practices in Cloquet, MN. The NPI Number for Bluestone Oral And Maxillofacial Surgery, P.a. is 1326290727 and holds a License No. (Minnesota).

The current practice location address for Bluestone Oral And Maxillofacial Surgery, P.a. is 1616 Cloquet Ave, Cloquet, MN and can be reached out via phone at 218-879-3761 and via fax at 218-879-6057.

Location: 1616 Cloquet Ave, Cloquet, MN, 55802-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326290727
Provider Name
Bluestone Oral And Maxillofacial Surgery, P.a.
Credential
Provider Entity Type
Organization
Address
1616 Cloquet Ave, Cloquet, MN, 55802-1701
Phone Number
218-879-3761
Fax Number
218-879-6057
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166644400 05 MN
DB2954 01 MN RAILROAD MEDICAL GROUP#
01630538 01 MN UNITED CONCORDIA (CLOUQET)
U12947 01 MN UPIN#
01630541 01 UNITED CONCORDIA (DULUTH)
6B297JE 01 MN BLUE CROSS/BLUE SHIELD MN
institution
Provider Business Practice Location Address Details
Address
1616 Cloquet Ave
City
Cloquet
State
Minnesota
Zip
55720-1948
Phone Number
218-879-3761
Fax Number
218-879-6057
person
Provider Business Mailing Address Details
Address
1616 Cloquet Ave
City
Cloquet
State
Minnesota
Zip
55720-1948
Phone Number
218-879-3761
Fax Number
218-879-6057
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Minnesota)
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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