ORAL FACIAL SURGERY PA – NPI #1710965991
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

ORAL FACIAL SURGERY PA is an AHC clinic located in WILLMAR, MN. NPPES has assigned the NPI number 1710965991 to ORAL FACIAL SURGERY PA on January 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORAL FACIAL SURGERY PA below.

NPI Profile for
ORAL FACIAL SURGERY PA

NPI Number
1710965991
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORAL FACIAL SURGERY PA
Primary location
1029 19TH AVE SW
WILLMAR, MN 56201
Phone: (320) 235-1803 Fax: (320) 235-6097
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES HUGHES
CEO
Phone: (320) 235-1803
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.