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

St Paul Oral Surgery and Dental Implants LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1124776687

St Paul Oral Surgery and Dental Implants LLC is an Oral and Maxillofacial Surgery (Dentist) in Mendota Heights, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

750 Main St Ste 200
Mendota Heights, MN 55118-3767
Phone: (651) 451-1873
Fax: (651) 451-8010
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 number1124776687
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Paul Oral Surgery and Dental Implants LLC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names St. Paul Oral Surgery - Mendota Heights
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address750 Main St Ste 200, Mendota Heights, MN 55118-3767