Oral & Maxillofacial Surgery Specialists, Pa is a Oral and Maxillofacial Dental Clinic in Maple Grove, Minnesota. It is located at 13784 83rd Way N Ste 92, Maple Grove, MN and its contact number is 763-494-8825. The authorized person for Oral & Maxillofacial Surgery Specialists, Pa is Kirby Charles Johnson
who is President of the clinic and their contact number is 612-788-9246. Oral & Maxillofacial Surgery Specialists, Pa 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:
Oral & Maxillofacial Surgery Specialists, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Oral & Maxillofacial Surgery Specialists, Pa
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
13784 83rd Way N Ste 92, Maple Grove, Minnesota, 55369-7191
Phone:
763-494-8825
Fax:
763-494-3269
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:
Kirby Charles Johnson
Position:
President
Contact Number:
612-788-9246
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 Oral & Maxillofacial Surgery Specialists, Pa clinic are as mentioned below.
NPI Number:
1902917057
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
29 Jul, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Oral & Maxillofacial Surgery Specialists, Pa 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
1912928789
Other
Minnesota
Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Oral & Maxillofacial Surgery Specialists, Pa 550 County Road D, Suite 12 New Brighton, Minnesota
Zip:
55112
Phone Number:
651-259-9902
Fax Number:
651-259-9930
Patients can reach Oral & Maxillofacial Surgery Specialists, Pa at 13784 83rd Way N Ste 92, Maple Grove, Minnesota or can call to book an appointment on 763-494-8825. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.