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

Central Lakes Oral & Facial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1386723575

Central Lakes Oral & Facial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Sartell, Minnesota. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2380 Troop Dr Ste 202
Sartell, MN 56377
Phone: (320) 257-9555
Fax: (320) 257-9558
Show map & directions

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 number1386723575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roderick Van Surksum — Owner Dentist · (320) 257-9555
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2380 Troop Drive, Ste 202, Sartell, MN 56377

Other providers in Sartell