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

Face and Jaw Surgeons PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1104863505

Face and Jaw Surgeons PC is an Oral and Maxillofacial Surgery (Dentist) in Minot, North Dakota. Registered with an NPI since 2006.

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

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Practice location Address checks out

2615 Elk Dr Ste 3
Minot, ND 58701-1200
Phone: (701) 852-3421
Fax: (701) 838-1842
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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 number1104863505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Deatherage — Dmd Md · (701) 258-7220
NPI enumeratedJune 2, 2006
Last updated in NPPESJune 8, 2017
Mailing address2615 Elk Dr, Suite 3, Minot, ND 58701-1200

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