| True North Oral Surgery And Implants Pllc | |
|
9950 Valley Creek Rd Suite 100 Woodbury MN 55125-4883 | |
| (651) 578-7000 | |
| (651) 578-0157 |
| Full Name | True North Oral Surgery And Implants Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9950 Valley Creek Rd, Woodbury, Minnesota |
| Authorized Official Name and Position | Marshall Lloyd Wade (ORAL SURGEON/PRESIDENT) |
| Authorized Official Contact | 6515787000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True North Oral Surgery And Implants Pllc 9950 Valley Creek Rd Suite 100 Woodbury MN 55125-4883 Ph: (651) 578-7000 | True North Oral Surgery And Implants Pllc 9950 Valley Creek Rd Suite 100 Woodbury MN 55125-4883 Ph: (651) 578-7000 |
| NPI Number | 1285179945 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 7214212810 |
|---|---|
| Medicare Enrollment ID | O20170322001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285179945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D9734 (Minnesota) | Primary |
| Provider Name | Paul A Vollmer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710955547 PECOS PAC ID: 5597708461 Enrollment ID: I20120125000905 |
| Provider Name | Timothy A Ackerman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316926017 PECOS PAC ID: 9830337039 Enrollment ID: I20150805007579 |
| Provider Name | Travis A Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841637295 PECOS PAC ID: 5597196717 Enrollment ID: I20200504000200 |
Maplewood Oral And Maxillofacial Surgery, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9950 Valley Creek Rd Ste 100, Woodbury, MN 55125 Phone: 651-578-7000 Fax: 651-578-0157 | |
Orthodontic Specialists Of Minnesota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 City Walk Dr Apt C, Woodbury, MN 55129 Phone: 651-268-2992 | |
Dunn Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Commerce Dr Ste 170, Woodbury, MN 55125 Phone: 651-738-3866 | |
Metropolitan Endodontics Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8401 Seasons Pkwy, Suite 400, Woodbury, MN 55125 Phone: 651-735-6334 Fax: 651-735-6430 | |
Ryan T Pfundheller Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3060 Woodbury Dr, Woodbury, MN 55129 Phone: 651-427-4893 | |
Healthpartners Woodbury Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8325 Seasons Pkwy, Ste 103, Woodbury, MN 55125 Phone: 651-702-5848 Fax: 651-702-5870 | |
Minneapolis-st.paul Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 City Walk Dr Ste C, Woodbury, MN 55129 Phone: 651-714-7111 Fax: 651-714-9005 |