Central Lakes Oral & Facial Surgery
Oral and Maxillofacial Dental Clinic
2380 Troop Drive, Ste 202, Sartell
Minnesota, 56377
320-257-9555 320-257-9558
Maps & DirectionsCentral Lakes Oral & Facial Surgery is a Oral and Maxillofacial Dental Clinic in Sartell, Minnesota. It is located at 2380 Troop Drive, Ste 202, Sartell, MN and its contact number is 320-257-9555. The authorized person for Central Lakes Oral & Facial Surgery is Dr. Roderick Duane Van Surksum
who is Owner Dentist of the clinic and their contact number is 320-257-9555.
Central Lakes Oral & Facial Surgery 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:
Central Lakes Oral & Facial Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Central Lakes Oral & Facial Surgery |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 2380 Troop Drive, Ste 202, Sartell,
Minnesota, 56377 |
| Phone: | 320-257-9555 |
| Fax: | 320-257-9558 |
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: | Dr. Roderick Duane Van Surksum |
| Position: | Owner Dentist |
| Contact Number: | 320-257-9555 |
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 Central Lakes Oral & Facial Surgery clinic are as mentioned below.
| NPI Number: | 1386723575 |
| NPI Enumeration Date: | 06 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Central Lakes Oral & Facial Surgery are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | 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 |
| A65221025048 | Other | | Preferred |
| 8600574 | Other | | Medica |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Central Lakes Oral & Facial Surgery
2380 Troop Drive, Ste 202
Sartell, Minnesota |
| Zip: | 56377 |
| Phone Number: | 320-257-9555 |
| Fax Number: | 320-257-9558 |
Patients can reach Central Lakes Oral & Facial Surgery at
2380 Troop Drive, Ste 202, Sartell, Minnesota or can
call to book an appointment on 320-257-9555.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.