Oral & Maxillofacial Surgery Specialists, PA
Oral & Maxillofacial Surgery Specialists, PA is an Oral and Maxillofacial Surgery (Dentist) in Waconia, 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.
Practice location Address checks out
490 S Maple St Ste 102Waconia, MN 55387-1762
Phone: (952) 442-5448
Fax: (952) 442-5496
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 (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1770694812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kirby Johnson — President · (612) 788-9246 |
| Other names | Oms Specialists |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 29, 2014 |
| Mailing address | 550 County Road D, Suite 12, New Brighton, MN 55112 |