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

Minnesota Oral and Facial Surgery PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1194363275

Minnesota Oral and Facial Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Sartell, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2380 Troop Dr Unit 202
Sartell, MN 56377-4637
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
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1194363275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deepak Kademani — Owner · (612) 568-0570
NPI enumeratedDecember 19, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address2380 Troop Dr Unit 202, Sartell, MN 56377-4637

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