MAXILLOFACIAL AND ORAL SURGERY PA (NPI# 1821010497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821010497 |
| Entity Type | Organization |
| Organization Name | MAXILLOFACIAL AND ORAL SURGERY PA |
| Practice Address |
7-174 Moos Tower 515 Delaware Street Se Minneapolis MN 55155-0329 |
| Mailing Address |
2854 Highway 55 Suite 130 Eagan MN 55121-1405 |
| Practice Telephone | 6518423344 |
| Mailing Telephone | 6518423344 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | JAMES Q SWIFT (PRESIDENT) |
| Authorized Official Telephone | 6518423344 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
7-174 MOOS TOWER 515 DELAWARE STREET SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55155-0329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1992945273 | Brandon P Sis | Pharmacist | 50 Sherburne Ave, Suite 112, Saint Paul, MN 55155-1402 | 2009-02-26 |
| 1851789663 | Minnesota Department of Health | Public Health or Welfare | 601 Robert St N, Saint Paul, MN 55155-2538 | 2014-12-31 |
| 1285960302 | Ruth Lynfield | Pediatrics | 625 Robert St N, Saint Paul, MN 55155-2538 | 2009-10-23 |
| 1285730838 | Community Addiction Recovery Enterprise | Substance Abuse Rehabilitation Facility | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2006-09-14 |
| 1679831705 | Mindy Lee Fleming | Social Worker | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2012-04-26 |
| 1164737326 | Community Addiction Recovery Enterprise- | Clinic/Center | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2010-08-12 |
| 1588742563 | Alan Quenton Radke | Psychiatry & Neurology | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841152 | Minneapolis Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 815n Rothsay Street, Minneapolis, KS 67467 | 2020-11-06 |
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1598366049 | Oswald Digestive Clinic LLC | Nutritionist | 2893 Knox Ave S Apt 607, Minneapolis, MN 55408-1865 | 2020-11-02 |
| 1417558933 | Ahmed Osman Abdi | Behavioral Analyst | 1113 E Franklin Ave Ste 111, Minneapolis, MN 55404-2978 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1437759438 | Aman Wellness Center Inc. | Early Intervention Provider Agency | 1813 S 6th St Ste 301, Minneapolis, MN 55454-1208 | 2020-10-28 |
| 1760082929 | Eudocia Rodzinak | Music Therapist | 4228 28th Ave S, Minneapolis, MN 55406-3123 | 2020-10-27 |
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| Find all providers in MINNEAPOLIS | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649630609 | Kyle Burton Tyler | Oral & Maxillofacial Surgery | 515 Delaware St Se 7-314 Moos Tower, Minneapolis, MN 55455-0357 | 2016-03-02 |
| 1104898626 | David L Basi | Oral & Maxillofacial Surgery | 515 Delaware St Se, 7-174 Moos Tower, Minneapolis, MN 55455 | 2006-02-07 |
| 1255304507 | James Q Swift | Oral & Maxillofacial Surgery | 515 Delaware St Se, 7-174 Moos Tower, Minneapolis, MN 55455 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326296120 | Dan E Tolman | Oral & Maxillofacial Surgery | 2709 Merrihills Dr Sw, Rochester, MN 55902-1168 | 2008-09-04 |
| 1588823983 | Jacob Gregory Yetzer | Oral & Maxillofacial Surgery | 3366 Oakdale Ave N Ste 200, Robbinsdale, MN 55422-2962 | 2008-06-02 |
| 1992848808 | Christopher Michael De La Mater | Oral & Maxillofacial Surgery | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-14 |
| 1518070648 | Joseph H Wang | Oral & Maxillofacial Surgery | 1101 First St S, Willmar, MN 56201 | 2006-08-15 |
| 1710958368 | Paul F Bruer | Oral & Maxillofacial Surgery | 3209 West 76th Street, #303, Edina, MN 55435 | 2006-01-31 |
| 1144205626 | Lawrence A Palmersheim | Oral & Maxillofacial Surgery | 625 E Nicollet Blvd, Ste 205, Burnsville, MN 55337-6734 | 2005-12-07 |
| 1194363275 | Minnesota Oral and Facial Surgery Pllc | Oral & Maxillofacial Surgery | 2380 Troop Dr Unit 202, Sartell, MN 56377-4637 | 2019-12-19 |
| 1982242061 | Minnesota Head and Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2380 Troop Dr Unit 202, Sartell, MN 56377-4637 | 2019-12-19 |
| 1245582063 | Brent L Florine, Dds, Pllc | Oral & Maxillofacial Surgery | 4151 Knob Dr Ste 101, Eagan, MN 55122-1876 | 2012-10-03 |
| 1659635514 | Jeff Allen Kohlmeier | Oral & Maxillofacial Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-26 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55155 |
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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.