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Dr. Julie A Chavez, DDS
Oral and Maxillofacial Surgery (Dentist) in St Louis Park, Minnesota
NPI 1851364392

Julie A Chavez is a Oral and Maxillofacial Surgery (Dentist) based in St Louis Park, MN and is specialized in Oral and Maxillofacial Surgery. Julie A Chavez practices in St Louis Park, MN and has the professional credentials of DDS. The NPI Number for Julie A Chavez is 1851364392 and holds a License No. D11399 (Minnesota).

The current practice location address for Julie A Chavez is 5100 Gamble Dr, St Louis Park, MN and can be reached out via phone at 952-465-0105 and via fax at 952-465-0106.

Location: 5100 Gamble Dr, St Louis Park, MN, 55416-1521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851364392
Provider Name
Julie A Chavez
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5100 Gamble Dr, St Louis Park, MN, 55416-1521
Phone Number
952-465-0105
Fax Number
952-465-0106
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140122 01 MN U CARE
850000116 01 MN MEDICARE PTAN
000924472 01 MN UNITED CONCORDIA
P00841569 01 MN MEDICARE RAILROAD PTAN
3AI38CH 01 MN BLUE CROSS BLUE SHIELD
15306 01 MN DORAL/DENTAQUEST
institution
Provider Business Practice Location Address Details
Address
5100 Gamble Dr
City
St Louis Park
State
Minnesota
Zip
55416-1521
Phone Number
952-465-0105
Fax Number
952-465-0106
person
Provider Business Mailing Address Details
Address
5100 Gamble Dr
City
St Louis Park
State
Minnesota
Zip
55416-1521
Phone Number
952-465-0105
Fax Number
952-465-0106
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D11399 (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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