MIDWEST ORAL & MAXILLOFACIAL SURGERY PA (NPI# 1003983701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003983701 |
| Entity Type | Organization |
| Organization Name | MIDWEST ORAL & MAXILLOFACIAL SURGERY PA |
| Practice Address |
13875 Hwy 13 Frontage Rd Ste 50 Savage MN 55378 |
| Practice Telephone | 9522267940 |
| Practice Fax Number | 9522267949 |
| Mailing Telephone | 9522267940 |
| Mailing Fax Number | 9522267949 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY WARREN HUELER (PRESIDENT) |
| Authorized Official Telephone | 9522267940 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
13875 HWY 13 FRONTAGE RD STE 50 |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013019389 | Noah Ari Sandler | Dentist | 13875 Hwy 13 Frontage Rd, Suite #50, Savage, MN 55378 | 2006-09-05 |
| 1588767461 | Gregory Warren Hueler | Dentist | 13875 Hwy 13 Frontage Rd, Suite 50, Savage, MN 55378 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013019389 | Noah Ari Sandler | Dentist | 13875 Hwy 13 Frontage Rd, Suite #50, Savage, MN 55378 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1285294611 | Brian Michael Laing | Dentist | 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 | 2019-06-18 |
| 1295218303 | Advanced Oral Surgery | Dentist | 19925 Idealic Ave, Lakeville, MN 55044-2003 | 2018-09-13 |
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1497113674 | West Lakes Dentistry, Pa | Dentist | 5205 Shoreline Dr, Mound, MN 55364-1770 | 2016-02-03 |
| 1003203498 | Tyler John Varhol | Dentist | 550 County Road D W Ste 12, New Brighton, MN 55112-3517 | 2015-04-23 |
| 1225458391 | Levi Zarbano | Dentist | 2550 University Ave W Ste 115n, Saint Paul, MN 55114-1097 | 2014-04-16 |
| 1154760932 | John Salek-raham | Dentist | 700 Village Center Dr., Ste 170, North Oaks, MN 55127-3025 | 2013-06-14 |
| 1649511585 | Kristopher Lee Hasstedt | Dentist | Dentists of Woodbury, 7150 Valley Creek Plaza Ste #230, Woodbury, MN 55125 | 2013-03-01 |
| 1396095048 | Dental Specialists of Minnesota, Pllc | Dentist | 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 | 2012-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.