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Roderick Duane Vansurksum, DDS
Oral and Maxillofacial Surgery (Dentist) in Minnetonka, Minnesota
NPI 1699964320

Roderick Duane Vansurksum is a Oral and Maxillofacial Surgery (Dentist) based in Minnetonka, MN and is specialized in Oral and Maxillofacial Surgery. Roderick Duane Vansurksum practices in Minnetonka, MN and has the professional credentials of DDS. The NPI Number for Roderick Duane Vansurksum is 1699964320 and holds a License No. D11417 (Minnesota).

The current practice location address for Roderick Duane Vansurksum is 11601 Minnetonka Mills Rd Ste F40, Minnetonka, MN and can be reached out via phone at 952-935-8420 and via fax at 952-935-0147.

Location: 11601 Minnetonka Mills Rd Ste F40, Minnetonka, MN, 55305-5189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699964320
Provider Name
Roderick Duane Vansurksum
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11601 Minnetonka Mills Rd Ste F40, Minnetonka, MN, 55305-5189
Phone Number
952-935-8420
Fax Number
952-935-0147
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
704432100 05 MN
institution
Provider Business Practice Location Address Details
Address
11601 Minnetonka Mills Rd Ste F40
City
Minnetonka
State
Minnesota
Zip
55305-5189
Phone Number
952-935-8420
Fax Number
952-935-0147
person
Provider Business Mailing Address Details
Address
11601 Minnetonka Mills Rd Ste F40
City
Minnetonka
State
Minnesota
Zip
55305-5189
Phone Number
952-935-8420
Fax Number
952-935-0147
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D11417 (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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