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 324 W Superior St Suite 720, Duluth MN 55802-1701. 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) 727-8994, or through Southworth, Jean Diane via phone (218) 727-8994.
Contact Information
Primary practice address
324 W Superior St Suite 720
Duluth MN 55802-1701
Phone: (218) 727-8994
Fax: (218) 727-8995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Minnesota |
Profile Details
| NPI number | 1578511572 |
|---|---|
| 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 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1578511572 | NPPES |
| Minnesota | Other | 01630538 | UNITED CONCORDIA (CLOQUET |
| Minnesota | Other | 01630541 | UNITED CONCORDIA (CLOQUET |
| Minnesota | Other | 6B297JE | UNITED CONCORDIA (CLOQUET |
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