Oral And Maxillofacial Surgical Associates

LBN: Oral And Maxillofacial Surgical Associates
Oral And Maxillofacial Surgical Associates is an health care organization with primary practice located at 1000 East First Street #302 , Duluth MN 55805-2297. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Oral And Maxillofacial Surgical Associates can be contacted via phone (218) 722-1854, or through Hodapp, Paul Kevin via phone (218) 722-1854.

Contact Information

Primary practice address
1000 East First Street #302 Duluth MN 55805-2297
Phone: (218) 722-1854
Fax: (218) 722-6424
Website:
Map and Directions
Authorized official contact:
Name: Hodapp, Paul Kevin Doctor of Dental Surgery (DDS)
Phone: (218) 722-1854

Health care specialties

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

Profile Details

NPI number 1104911056
LBN Legal business name Oral And Maxillofacial Surgical Associates
DBA Doing business as
Authorized official Hodapp, Paul Kevin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 4th, 2014 - about 11 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 1104911056 NPPES
Minnesota MEDICAID 998722300

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