St. Paul Oral Surgery | |
2550 University Ave W Ste 115n Saint Paul MN 55114-1097 | |
(651) 645-6429 | |
(651) 645-8326 |
Full Name | St. Paul Oral Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2550 University Ave W Ste 115n, Saint Paul, Minnesota |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Paul Oral Surgery 2550 University Ave W Ste 115n Saint Paul MN 55114-1097 Ph: (651) 645-6429 | St. Paul Oral Surgery 2550 University Ave W Ste 115n Saint Paul MN 55114-1097 Ph: (651) 645-6429 |
NPI Number | 1043870645 |
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Provider Enumeration Date | 06/17/2019 |
Last Update Date | 05/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043870645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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