Northern Star Oral and Maxillofacial Surgery PLLC
Northern Star Oral and Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery Clinic/Center in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.
- Licensed in
- MN
- In the registry since
- 2009
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5100 Gamble Dr Ste 125St Louis Park, MN 55416-1585
Phone: (952) 465-0105
Fax: (952) 465-0106
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence D11399 (MN) |
|---|
Record details
| NPI number | 1699901140 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Chavez — Owner · (952) 465-0105 |
| NPI enumerated | June 10, 2009 |
| Last updated in NPPES | June 23, 2014 |
| Mailing address | 5100 Gamble Dr, Suite 125, St Louis Park, MN 55416-1585 |