Institute Of Facial Surgery St Paul, Pllc

LBN: Institute Of Facial Surgery St Paul, Pllc
Institute Of Facial Surgery St Paul, Pllc is an health care organization with primary practice located at 1774 Cope Ave E Suite 140, Maplewood MN 55109-2662. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Institute Of Facial Surgery St Paul, Pllc can be contacted via phone (651) 774-9611, or through Brunsoman, Jerry Kent via phone (651) 774-9611.

Contact Information

Primary practice address
1774 Cope Ave E Suite 140 Maplewood MN 55109-2662
Phone: (651) 774-9611
Fax: (651) 748-3704
Website:
Map and Directions
Authorized official contact:
Name: Brunsoman, Jerry Kent Doctor of Dental Surgery (DDS)
Phone: (651) 774-9611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D6950 Minnesota

Profile Details

NPI number 1477871457
LBN Legal business name Institute Of Facial Surgery St Paul, Pllc
DBA Doing business as
Authorized official Brunsoman, Jerry Kent Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2010
Last updated Apr 21st, 2011 - about 13 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.

Request for update

Popular Providers