MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA; NPI #1427237551

Contact Information

MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA

155 WABASHA ST S
SUITE 111
SAINT PAUL, MN 55107-1801

Phone: 651-222-6396
Fax: 651-215-3189
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA

NPI # 1427237551

LBN Legal business name MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA

Authorized official JAMES MIDTLING - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2007

Last updated 10/25/2007 - About 19 years ago

Identifiers

License #

10555

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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