Affiliated Oral And Maxillofacial Surgeons P.A.

LBN: Affiliated Oral And Maxillofacial Surgeons P.A.
Affiliated Oral And Maxillofacial Surgeons P.A. is an health care organization with primary practice located at 348 2Nd St Suite 150, Excelsior MN 55331-1830. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Affiliated Oral And Maxillofacial Surgeons P.A. can be contacted via phone (952) 474-6336, or through Carter, Douglas A via phone (952) 474-6336.

Contact Information

Primary practice address
348 2Nd St Suite 150 Excelsior MN 55331-1830
Fax: (952) 474-2468
Website:
Authorized official contact:
Name: Carter, Douglas A Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1366676553
LBN Legal business name Affiliated Oral And Maxillofacial Surgeons P.A.
DBA Doing business as
Authorized official Carter, Douglas A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2009
Last updated May 4th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366676553 NPPES
Minnesota MEDICAID 315223500
Minnesota MEDICAID 352518000

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