Bluestone Oral And Maxillofacial Surgery, P.a.
Oral and Maxillofacial Dental Clinic
1616 Cloquet Ave, Cloquet
Minnesota, 55720-1948
218-879-3761 218-879-6057
Maps & DirectionsBluestone Oral And Maxillofacial Surgery, P.a. is a Oral and Maxillofacial Dental Clinic in Cloquet, Minnesota. This organization is also known as sub part of Bluestone Oral And Maxillofacial Surgery, P.a.. It is located at 1616 Cloquet Ave, Cloquet, MN and its contact number is 218-879-3761. The authorized person for Bluestone Oral And Maxillofacial Surgery, P.a. is Mrs. Jean Diane Southworth
who is Business Managaer of the clinic and their contact number is 218-727-8994.
Bluestone Oral And Maxillofacial Surgery, P.a. Clinic deals with 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.
Complete Clinic Profile:
Bluestone Oral And Maxillofacial Surgery, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bluestone Oral And Maxillofacial Surgery, P.a. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1616 Cloquet Ave, Cloquet,
Minnesota, 55720-1948 |
| Phone: | 218-879-3761 |
| Fax: | 218-879-6057 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Jean Diane Southworth |
| Position: | Business Managaer |
| Contact Number: | 218-727-8994 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bluestone Oral And Maxillofacial Surgery, P.a. clinic are as mentioned below.
| NPI Number: | 1326290727 |
| Parent Organization: | Bluestone Oral And Maxillofacial Surgery, P.a. |
| NPI Enumeration Date: | 16 Oct, 2008 |
| NPI Last Update On: | 16 Oct, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bluestone Oral And Maxillofacial Surgery, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 166644400 | Medicaid | Minnesota | |
| DB2954 | Other | Minnesota | Railroad Medical Group# |
| 01630538 | Other | Minnesota | United Concordia (clouqet) |
| U12947 | Other | Minnesota | Upin# |
| 01630541 | Other | | United Concordia (duluth) |
| 6B297JE | Other | Minnesota | Blue Cross/blue Shield Mn |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bluestone Oral And Maxillofacial Surgery, P.a.
324 W Superior St, Suite 720
Duluth, Minnesota |
| Zip: | 55802-1701 |
| Phone Number: | 218-727-8994 |
| Fax Number: | 218-727-8995 |
Patients can reach Bluestone Oral And Maxillofacial Surgery, P.a. at
1616 Cloquet Ave, Cloquet, Minnesota or can
call to book an appointment on 218-879-3761.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.