ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA (NPI# 1265650956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265650956 |
| Entity Type | Organization |
| Organization Name | ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA |
| Practice Address |
250 Central Ave N Suite126 Wayzata MN 55391-1206 |
| Practice Telephone | 9524752266 |
| Practice Fax Number | 9524750637 |
| Mailing Telephone | 9524752266 |
| Mailing Fax Number | 9524750637 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | DEBI A KECKHAFER (PRACTICE MANAGER) |
| Authorized Official Telephone | 9528419658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720206428 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 7770 Dell Road, Suite 100, Chanhassen, MN 55317-9316 | 2007-04-20 |
| 1316165012 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 | 2007-04-20 |
| 1619049921 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2006-11-14 |
| Street Address |
250 CENTRAL AVE N SUITE126 |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943117 | Christine Mccarthy | Family Medicine | 250 Central Ave N, Suite 220, Wayzata, MN 55391-1206 | 2005-12-16 |
| 1821538240 | Rebecca Christine Fichtel | Physician Assistant | 250 Central Ave N, Suite #220 & #228, Wayzata, MN 55391-1206 | 2017-03-04 |
| 1427457209 | Matthew David Quanrud | Physical Therapist | 250 Central Ave N, Wayzata, MN 55391-1206 | 2014-08-18 |
| 1073929543 | Lucas G Dueffert | Physical Therapist | 250 Central Ave N, Suite Ll 10, Wayzata, MN 55391-1206 | 2014-07-06 |
| 1962742650 | Taylor J. Stephens, D.d.s, P.a. | Clinic/Center | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2013-02-18 |
| 1245562180 | Brian A Gehling | Physical Therapist | 250 Central Ave N, Suite Ll-10, Wayzata, MN 55391-1206 | 2010-02-03 |
| 1710146394 | Taylor Stephens | Dentist | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2008-06-09 |
| 1659554517 | Wayzata Dental, Ltd. | Dentist | 250 Central Ave N, Suite 202, Wayzata, MN 55391-1206 | 2007-12-13 |
| 1689867129 | Terry Boksberger | Family Medicine | 250 Central Ave N, Suite 228, Wayzata, MN 55391-1206 | 2007-08-18 |
| 1083814206 | Monica Kennard,d.d.s.,p.a. | Dentist | 250 Central Ave N, Suite 211, Wayzata, MN 55391-1208 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| 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 |
|---|---|---|---|---|
| 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.