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

Prairie Oral Surgery Ltd

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1912859364

Prairie Oral Surgery Ltd is an Oral & Maxillofacial Surgery (D.M.D.) in Detroit Lakes, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1225 Washington Ave
Detroit Lakes, MN 56501-3905
Phone: (701) 478-4404
Fax: (701) 478-4407
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1912859364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyssa Auck — Financial Coordinator · (701) 478-4404
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address2585 23rd Ave S Unit A, Fargo, ND 58103-6172