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

Centrasota Oral & Maxillofacial Surgeons, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1598710477

Centrasota Oral & Maxillofacial Surgeons, PA is an Oral and Maxillofacial Surgery (Dentist) in Saint Cloud, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 Veterans Dr Ste 100
Saint Cloud, MN 56303-3410
Phone: (320) 252-3611
Fax: (320) 252-7574
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 number1598710477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Keck — President · (320) 252-3611
NPI enumeratedMay 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3410

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