National Provider Identifier Database

TWIN CITIES ORAL MAXILLOFACIAL SURGERY PA
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA
14635 PENNOCK AVE
#250
APPLE VALLEY, MN55124-6430
Phone: 952-432-1514
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA

NPI Number 1821299041
Legal business name
LBN
TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA
Authorized official SHIRLEY HERDING - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/29/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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