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

Oral & Maxillofacial Surgery Specialists, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1467563510

Oral & Maxillofacial Surgery Specialists, PA is an Oral and Maxillofacial Surgery (Dentist) in Blaine, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11800 Aberdeen St NE Ste 130
Blaine, MN 55449-4813
Phone: (763) 757-2220
Fax: (763) 757-9204
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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 number1467563510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirby Johnson — President · (612) 788-9246
Other names Oms Specialists
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 29, 2014
Mailing address550 County Road D, Suite 12, New Brighton, MN 55112

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