| Oms Specialists | |
|
550 County Road D Suite 12 New Brighton MN 55421 | |
| (612) 788-9246 | |
| (612) 788-5511 |
| Full Name | Oms Specialists |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 550 County Road D, New Brighton, Minnesota |
| Authorized Official Name and Position | Kirby Charles Johnson (PRESIDENT) |
| Authorized Official Contact | 6127889246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oms Specialists 550 County Road D Suite 12 New Brighton MN 55112 Ph: (651) 259-9902 | Oms Specialists 550 County Road D Suite 12 New Brighton MN 55421 Ph: (612) 788-9246 |
| NPI Number | 1982634010 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982634010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10472 (Minnesota) | Primary |
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