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

Northside Minnesota Oral and Maxillofacial Surgeons, PLLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1245809458

Northside Minnesota Oral and Maxillofacial Surgeons, PLLC is an Oral and Maxillofacial Surgery Clinic/Center in Coon Rapids, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11441 Osage St NW
Coon Rapids, MN 55433-3677
Phone: (763) 862-6442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1245809458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed El Deeb — Owner · (763) 862-6442
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address11441 Osage St Nw, Coon Rapids, MN 55433-3677