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

Implant&maxillofacial Surgical Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1255759650

Implant&maxillofacial Surgical Center is an Oral and Maxillofacial Surgery (Dentist) in Williston, North Dakota. Licensed in North Dakota. Registered with an NPI since 2014.

Licensed in
ND
In the registry since
2014

Practice location Address checks out

2224 1st Ave W Ste 2
Williston, ND 58801-6286
Phone: (701) 721-5254
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 · Licence 1993 (ND)

Record details

NPI number1255759650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Ulloa — Oral&Maxillofacial Surgeon/Owner · (701) 721-5254
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014
Mailing address2224 1st Ave W Ste 2, Williston, ND 58801-6286