Centrasota Oral & Maxillofacial Surgeons, P.A.

LBN: Centrasota Oral & Maxillofacial Surgeons, P.A.
Centrasota Oral & Maxillofacial Surgeons, P.A. is an health care organization with primary practice located at 3950 Veterans Dr Suite 100, Saint Cloud MN 56303-3410. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Centrasota Oral & Maxillofacial Surgeons, P.A. can be contacted via phone (320) 252-3611, or through Keck, Robert J via phone (320) 252-3611.

Contact Information

Primary practice address
3950 Veterans Dr Suite 100 Saint Cloud MN 56303-3410
Phone: (320) 252-3611
Fax: (320) 252-7574
Website:
Map and Directions
Authorized official contact:
Name: Keck, Robert J D.D.S., M.S.
Phone: (320) 252-3611

Health care specialties

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

Profile Details

NPI number 1598710477
LBN Legal business name Centrasota Oral & Maxillofacial Surgeons, P.A.
DBA Doing business as
Authorized official Keck, Robert J D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 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.

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