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

Oral and Maxillofacial Surgical Associates PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417042367

Oral and Maxillofacial Surgical Associates PA is an Oral and Maxillofacial Surgery (Dentist) in Virginia, 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

505 S 12th Ave W Ste 2
Virginia, MN 55792-2001
Phone: (218) 741-0894
Fax: (218) 741-4140
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 number1417042367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Lafleur — Practice Administrator · (218) 722-1854
Other names Blue Water Oral And Facial Surgery
NPI enumeratedOctober 4, 2006
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address505 S 12th Ave W Ste 2, Virginia, MN 55792-2001