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

South Suburban Oral & Maxillofacial Surgeons Ltd

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1134103674

South Suburban Oral & Maxillofacial Surgeons Ltd is an Oral and Maxillofacial Surgery (Dentist) in Burnsville, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
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

625 E Nicollet Blvd Ste 205
Burnsville, MN 55337-6735
Phone: (952) 435-0310
Fax: (952) 435-0311
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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 number1134103674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Palmersheim — Ceo · (952) 435-0310
NPI enumeratedNovember 29, 2005
Last updated in NPPESAugust 22, 2020
Mailing address625 East Nicollet Boulevard, Suite 205, Burnsville, MN 55337-6735

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