| St Croix Oral, Maxillofacial & Implant Surgery, P.a. | |
|
1701 Curve Crest Blvd W Suite 108 Stillwater MN 55082-6044 | |
| (651) 439-8030 | |
| (651) 351-0821 |
| Full Name | St Croix Oral, Maxillofacial & Implant Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1701 Curve Crest Blvd W, Stillwater, Minnesota |
| Authorized Official Name and Position | Steven D Johnson (PRESIDENT) |
| Authorized Official Contact | 6514398030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Croix Oral, Maxillofacial & Implant Surgery, P.a. 1701 Curve Crest Blvd W Suite 108 Stillwater MN 55082-6044 Ph: (651) 439-8030 | St Croix Oral, Maxillofacial & Implant Surgery, P.a. 1701 Curve Crest Blvd W Suite 108 Stillwater MN 55082-6044 Ph: (651) 439-8030 |
| NPI Number | 1427129717 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427129717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Minnesota) | Primary |
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