TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA; NPI #1821299041

Contact Information

TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA

14635 PENNOCK AVE
#250
APPLE VALLEY, MN 55124-6430

Phone: 952-432-1514
Fax:
Website:

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

Indicates primary specialty

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

NPI Number	`1821299041`
LBN Legal business name	TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA
Authorized official	SHIRLEY HERDING - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/29/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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