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

Oral & Maxillofacial Surgery Specialists, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1902917057

Oral & Maxillofacial Surgery Specialists, PA is an Oral and Maxillofacial Surgery (Dentist) in Maple Grove, 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.

See every abbreviation used in this directory →

Practice location Address checks out

13784 83rd Way N Ste 92
Maple Grove, MN 55369-7191
Phone: (763) 494-8825
Fax: (763) 494-3269
Show map & directions

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 number1902917057
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

Other providers in Maple Grove