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

Minnesota Oral and Maxillofacial Surgeons

Organization Dentist · NPI 1154519338

Minnesota Oral and Maxillofacial Surgeons is a Dentist in St Cloud, Minnesota. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1511 Northway Dr Ste 103
St Cloud, MN 56303
Phone: (320) 240-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1154519338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed El Deeb — Owner/President · (320) 240-0927
NPI enumeratedOctober 12, 2007
Last updated in NPPESOctober 1, 2008
Mailing address1511 Northway Drive, Suite 103, St. Cloud, MN 56303

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