Bluestone Oral And Maxillofacial Surgery, P.A.
LBN: Bluestone Oral And Maxillofacial Surgery, P.A.
Bluestone Oral And Maxillofacial Surgery, P.A. is an health care organization with primary practice located at 1616 Cloquet Ave , Cloquet MN 55720-1948. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Bluestone Oral And Maxillofacial Surgery, P.A. can be contacted via phone (218) 879-3761, or through Southworth, Jean Diane via phone (218) 727-8994.
Contact Information
Primary practice address
1616 Cloquet Ave
Cloquet MN 55720-1948
Phone: (218) 879-3761
Fax: (218) 879-6057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Minnesota |
Profile Details
| NPI number | 1326290727 |
|---|---|
| LBN Legal business name | Bluestone Oral And Maxillofacial Surgery, P.A. |
| DBA Doing business as | |
| Authorized official | Southworth, Jean Diane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 16th, 2008 |
| Last updated | Oct 16th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326290727 | NPPES |
| Minnesota | MEDICAID | 166644400 | |
| Minnesota | Other | DB2954 | |
| Minnesota | Other | 01630538 | |
| Minnesota | Other | U12947 | |
| Minnesota | Other | 01630541 | |
| Minnesota | Other | 6B297JE |
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