| Family Oral Surgery Specialists, Plc | |
|
14344 Burnhaven Dr Burnsville MN 55306-4928 | |
| (612) 638-1238 | |
| (952) 898-4109 |
| Full Name | Family Oral Surgery Specialists, Plc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14344 Burnhaven Dr, Burnsville, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Oral Surgery Specialists, Plc 14344 Burnhaven Dr Burnsville MN 55306-4928 Ph: (612) 638-1238 | Family Oral Surgery Specialists, Plc 14344 Burnhaven Dr Burnsville MN 55306-4928 Ph: (612) 638-1238 |
| NPI Number | 1407505829 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407505829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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