Minnesota Oral & Maxillofacial Surgery, P.a. | |
15655 37th Ave. N. 280 Plymouth MN 55446-4000 | |
(763) 520-1234 | |
(763) 520-1233 |
Full Name | Minnesota Oral & Maxillofacial Surgery, P.a. |
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Speciality | Dentist |
Location | 15655 37th Ave. N., Plymouth, Minnesota |
Authorized Official Name and Position | William P Hoffmann (OWNER/PARTNER) |
Authorized Official Contact | 9529252525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minnesota Oral & Maxillofacial Surgery, P.a. 15655 37th Ave. N. 280 Plymouth MN 55446-4000 Ph: (763) 520-1234 | Minnesota Oral & Maxillofacial Surgery, P.a. 15655 37th Ave. N. 280 Plymouth MN 55446-4000 Ph: (763) 520-1234 |
NPI Number | 1578872685 |
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Provider Enumeration Date | 10/07/2010 |
Last Update Date | 10/30/2014 |
Medicare PECOS PAC ID | 8022297548 |
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Medicare Enrollment ID | O20110128000751 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578872685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | William P Hoffmann |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1619947314 PECOS PAC ID: 6002857125 Enrollment ID: I20050519000448 |
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