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Dr. Mark R Omlie, DDS-MD
Oral and Maxillofacial Surgery (Dentist) in Edina, Minnesota
NPI 1942272489

Mark R Omlie is a Oral and Maxillofacial Surgery (Dentist) based in Edina, MN and is specialized in Oral and Maxillofacial Surgery. Mark R Omlie practices in Edina, MN and has the professional credentials of DDS-MD. The NPI Number for Mark R Omlie is 1942272489 and holds a License No. DO8081 (Minnesota).

The current practice location address for Mark R Omlie is 7373 France Ave S, Edina, MN and can be reached out via phone at 952-835-5003 and via fax at 952-835-9598.

Location: 7373 France Ave S, Edina, MN, 55435-4534
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Provider Profile Details
NPI Number
1942272489
Provider Name
Mark R Omlie
Credential
DDS-MD
Provider Entity Type
Individual
Gender
Male
Address
7373 France Ave S, Edina, MN, 55435-4534
Phone Number
952-835-5003
Fax Number
952-835-9598
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130740M 01 MN BCBS NUMBER
86-14849 01 MN MEDICA NUMBER
institution
Provider Business Practice Location Address Details
Address
7373 France Ave S
City
State
Zip
55435-4534
Phone Number
952-835-5003
Fax Number
952-835-9598
person
Provider Business Mailing Address Details
Address
7373 France Ave S
City
State
Zip
55435-4534
Phone Number
952-835-5003
Fax Number
952-835-9598
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DO8081 (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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