ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA (NPI# 1316165012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316165012 |
| Entity Type | Organization |
| Organization Name | ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA |
| Practice Address |
7770 Dell Rd Suite 100 Chanhassen MN 55317-9316 |
| Practice Telephone | 9529750605 |
| Practice Fax Number | 9529753808 |
| Mailing Telephone | 9529750605 |
| Mailing Fax Number | 9529753808 |
| 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 |
|---|---|---|---|---|
| 1265650956 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 250 Central Ave N, Suite126, Wayzata, MN 55391-1206 | 2007-04-20 |
| 1720206428 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 7770 Dell Road, 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 |
7770 DELL RD SUITE 100 |
| City | CHANHASSEN |
| State | MN |
| Zip Code | 55317-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545764 | Alexander A Axelrod | Family Medicine | 7770 Dell Rd, Ste. 110, Chanhassen, MN 55317-9314 | 2005-08-15 |
| 1164863064 | Donna Marie Hecker | Dentist | 7770 Dell Rd, #170, Chanhassen, MN 55317-9314 | 2013-07-09 |
| 1508105073 | Allina Health System | Clinic/Center | 7770 Dell Rd, Suite 110, Chanhassen, MN 55317-9314 | 2013-02-04 |
| 1992985014 | Roy R. Moeller D.p.m. P.a. | Podiatrist | 7770 Dell Rd, Ste 140, Chanhassen, MN 55317-9314 | 2007-11-06 |
| 1417142506 | Taryn Quinn Boik | Internal Medicine | 7770 Dell Rd, Suite 110, Chanhassen, MN 55317-9314 | 2007-09-11 |
| 1447376371 | Citywest Prosthodontics, P.a. | Dentist | 7770 Dell Rd, Suite 170, Chanhassen, MN 55317-9314 | 2007-03-22 |
| 1356487151 | Foot and Ankle Physicians West P.a. | Podiatrist | 7770 Dell Rd, Suite 140, Chanhassen, MN 55317-9314 | 2007-01-29 |
| 1407947278 | D. Bradley Dodds, D.d.s., P.a. | Dentist | 7770 Dell Rd, Suite 160, Chanhassen, MN 55317 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245717 | Thaddeus Sharikov | Chiropractor | 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 | 2016-06-10 |
| 1720461668 | Steven C Witmer | Counselor | Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 | 2015-07-08 |
| 1194078584 | Kentaro Ishikawa | Dentist | 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 | 2012-10-22 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1528273299 | Cam-tu Nguyen Dalluge | Dentist | 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 | 2007-05-14 |
| 1194938910 | Sheri Hinrichs | Psychologist | 600 W. 78th St. #220, Chanhassen, MN 55317 | 2007-05-08 |
| 1891833059 | Great Plains Dental | Dentist | 500 W 79th St, Chanhassen, MN 55317 | 2007-02-01 |
| 1073665014 | Judith Aarsvold Indrelie | Psychologist | 600 West 78th Street, Chanhassen, MN 55317 | 2007-01-18 |
| 1285709410 | Diane Patricia O'grady | Psychiatry & Neurology | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2006-11-22 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| Find all providers in zip 55317 | ||||
| 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 |
|---|---|---|---|---|
| 1720206428 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 7770 Dell Road, Suite 100, Chanhassen, MN 55317-9316 | 2007-04-20 |
| 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 | ||||
| City | CHANHASSEN |
| Zip Code | 55317 |
Please comment or provide details below to improve the information on ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA.
| 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.