Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1295218303

Advanced Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Lakeville, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

19925 Idealic Ave
Lakeville, MN 55044-2003
Phone: (507) 327-9574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1295218303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan McCabe — Oral & Maxillofacial Surgeon · (507) 327-9574
NPI enumeratedSeptember 13, 2018
Last updated in NPPESSeptember 13, 2018
Mailing address19318 Impala Ave, Lakeville, MN 55044-1600