institution
Northern Oral & Maxillofacial Surgeons, Pa
Oral and Maxillofacial Surgery (Dentist) in Duluth, Minnesota
NPI 1457401820

Northern Oral & Maxillofacial Surgeons, Pa is a Oral and Maxillofacial Surgery (Dentist) based in Duluth, MN and is specialized in Oral and Maxillofacial Surgery. Northern Oral & Maxillofacial Surgeons, Pa practices in Duluth, MN. The NPI Number for Northern Oral & Maxillofacial Surgeons, Pa is 1457401820 and holds a License No. 2467529001 (Minnesota).

The current practice location address for Northern Oral & Maxillofacial Surgeons, Pa is 3617 W Arrowhead Rd, Duluth, MN and can be reached out via phone at 218-722-8377 and via fax at 218-722-3117.

Location: 3617 W Arrowhead Rd, Duluth, MN, 55811-4046
institution
Provider Profile Details
NPI Number
1457401820
Provider Name
Northern Oral & Maxillofacial Surgeons, Pa
Credential
Provider Entity Type
Organization
Address
3617 W Arrowhead Rd, Duluth, MN, 55811-4046
Phone Number
218-722-8377
Fax Number
218-722-3117
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60360BA 01 MN MINNESOTA BCBS CLINIC
38393400 01 WI WISCONSIN MEDICAID CLINIC
institution
Provider Business Practice Location Address Details
Address
3617 W Arrowhead Rd
City
State
Zip
55811-4046
Phone Number
218-722-8377
Fax Number
218-722-3117
person
Provider Business Mailing Address Details
Address
3617 W Arrowhead Rd
City
State
Zip
55811-4046
Phone Number
218-722-8377
Fax Number
218-722-3117
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2467529001 (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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