| Minnesota Oral And Facial Surgery Pllc | |
|
2380 Troop Dr Unit 202 Sartell MN 56377-4637 | |
| (320) 257-9555 | |
| (320) 257-9558 |
| Full Name | Minnesota Oral And Facial Surgery Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2380 Troop Dr Unit 202, Sartell, Minnesota |
| Authorized Official Name and Position | Deepak Kademani (OWNER) |
| Authorized Official Contact | 6125680570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Oral And Facial Surgery Pllc 2380 Troop Dr Unit 202 Sartell MN 56377-4637 Ph: (320) 257-9555 | Minnesota Oral And Facial Surgery Pllc 2380 Troop Dr Unit 202 Sartell MN 56377-4637 Ph: (320) 257-9555 |
| NPI Number | 1194363275 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Medicare PECOS PAC ID | 7517383987 |
|---|---|
| Medicare Enrollment ID | O20200814002707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194363275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Deepak Kademani |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356327431 PECOS PAC ID: 1658263603 Enrollment ID: I20040325001442 |
| Provider Name | Julie J Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787380 PECOS PAC ID: 8820218415 Enrollment ID: I20141002000798 |
| Provider Name | Scott Claiborne |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437387305 PECOS PAC ID: 1658639307 Enrollment ID: I20210604001304 |
| Provider Name | Carrie Cera Hill |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841498391 PECOS PAC ID: 1052435971 Enrollment ID: I20221114000405 |
Welch Dental Care Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 19th St S Ste B, Sartell, MN 56377 Phone: 320-229-2233 | |
Medical Arts Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 19th St S, Suite 101, Sartell, MN 56377 Phone: 320-253-9270 Fax: 320-255-5413 | |
Dr Michael Lawson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 Troop Drive, Suite 101, Sartell, MN 56377 Phone: 320-252-6191 Fax: 320-253-8974 | |
Dentistry For Children, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Twin Rivers Ct, Sartell, MN 56377 Phone: 320-257-3380 Fax: 320-257-3382 | |
Persona Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2385 Troop Dr, Suite 201, Sartell, MN 56377 Phone: 320-251-2972 Fax: 320-255-5514 | |
Pediatric Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 19th St S, Sartell, MN 56377 Phone: 320-229-2222 Fax: 888-563-2069 |