Institute of Facial Surgery St Paul
Institute of Facial Surgery St Paul is an Oral and Maxillofacial Surgery (Dentist) in Maplewood, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1774 Cope Ave E Ste 140Maplewood, MN 55109-2662
Phone: (651) 774-9611
Fax: (651) 748-3704
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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 number | 1689723686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Brunsoman — President · (651) 774-9611 |
| NPI enumerated | January 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1774 Cope Ave E, Suite 140, Maplewood, MN 55109-2662 |
Other providers in Maplewood
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Dr. Marshall Lloyd Wade, DDS
1560 Beam Ave Ste E, Maplewood, MN 55109-1171 · (651) 578-7000