Great Lakes Oral & Maxillofacial Surgery, P.a. is a Oral and Maxillofacial Dental Clinic in Stillwater, Minnesota. It is located at 2850 Curve Crest Blvd, Suite 130, Stillwater, MN and its contact number is 651-351-1010. The authorized person for Great Lakes Oral & Maxillofacial Surgery, P.a. is Mrs. Connie Louise Miller
who is Practice Manager of the clinic and their contact number is 651-351-1010. The primary license number for Great Lakes Oral & Maxillofacial Surgery, P.a. is 10762 (Oral and Maxillofacial Surgery) in Minnesota. Great Lakes Oral & 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:
Great Lakes Oral & 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:
Great Lakes Oral & Maxillofacial Surgery, P.a.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
2850 Curve Crest Blvd, Suite 130, Stillwater, Minnesota, 55082
Phone:
651-351-1010
Fax:
651-351-9333
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. Connie Louise Miller
Position:
Practice Manager
Contact Number:
651-351-1010
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 Great Lakes Oral & Maxillofacial Surgery, P.a. clinic are as mentioned below.
NPI Number:
1508058322
NPI Enumeration Date:
15 Aug, 2007
NPI Last Update On:
20 Oct, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Oral & Maxillofacial Surgery, P.a. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
10762
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
33714200
Other
Wisconsin
Medical Assistance
CC02769
Medicaid
Minnesota
616822100
Other
Minnesota
Medical Assistance
88A90BR
Other
Minnesota
Blue Cross Blue Shield
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Great Lakes Oral & Maxillofacial Surgery, P.a. 2850 Curve Crest Blvd, Suite 130 Stillwater, Minnesota
Zip:
55082
Phone Number:
651-351-1010
Fax Number:
651-351-9333
Patients can reach Great Lakes Oral & Maxillofacial Surgery, P.a. at 2850 Curve Crest Blvd, Suite 130, Stillwater, Minnesota or can call to book an appointment on 651-351-1010. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.