METROPOLITAN ORAL AND MAXILLOFACIAL SURGEONS PA (NPI# 1194826917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194826917 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN ORAL AND MAXILLOFACIAL SURGEONS PA |
| Practice Address |
2855 Campus Dr Ste 670 Plymouth MN 55441-2649 |
| Practice Telephone | 7635201234 |
| Practice Fax Number | 7635201233 |
| Mailing Telephone | 7635201234 |
| Mailing Fax Number | 7635201233 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MS. MICHELE ANN HORNER (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 7632570530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9698 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | WILLIAM HOFFMANN | 706006 | 01 |
| MN | DAVID CURTIS | 2B177CU | 01 |
| MN | DAVID CURTIS | 8084585 | 01 |
| MN | WILLIAM HOFFMANN | 190004291 | 01 |
| MN | WILLIAM HOFFMANN | 4593HO | 01 |
| MN | DAVID CURTIS | 103025 | 01 |
| MN | DAVID CURTIS | 190007581 | 01 |
| MN | WILLIAM HOFFMANN | 109788 | 01 |
| MN | DAVID CURTIS | 471809682 | 01 |
| MN | DAVID CURTIS | 706008 | 01 |
| MN | WILLIAM HOFFMANN | 373584714 | 01 |
| MN | WILLIAM HOFFMANN | 8084958 | 01 |
| Street Address |
2855 CAMPUS DR STE 670 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171820 | Terry W. Hood | Neurological Surgery | 2855 Campus Dr, Ste 570, Plymouth, MN 55441-2660 | 2005-06-01 |
| 1891309092 | Bridget Pauline Williams | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2020-09-04 |
| 1093277238 | Megan Hickenbottom | Social Worker | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2019-04-05 |
| 1831670470 | Stephanie Michelle Walek | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2018-08-22 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1457741092 | Narges Golgol | Physician Assistant | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2015-02-04 |
| 1295131357 | Eva Gabriela Martinez | Physical Therapist | 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2649 | 2014-11-17 |
| 1336495068 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2012-07-31 |
| 1477828515 | Vedavathi Ramesh Bellamkonda-athmaram | Pediatrics | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2012-03-21 |
| 1568739043 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235204116 | Daniel Shane O'brien | Dentist | 74 Summer St, Plymouth, MA 02360-3457 | 2006-11-23 |
| 1417034661 | Minnesota Maxillofacial and Oral Consultants | Dentist | 15600 36th Ave N Ste 100, Plymouth, MN 55446-3369 | 2006-11-01 |
| 1245253111 | Plymouth Oral & Facial Surgery, Plc | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-07-25 |
| 1982662821 | Dennie L Malone | Dentist | 133 Seaview Dr, Plymouth, MA 02360-8510 | 2006-05-02 |
| 1619947314 | William Peter Hoffmann | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2006-01-25 |
| 1528326428 | William Mcneely Lane | Dentist | 30 Resnik Rd, Plymouth, MA 02360-7211 | 2012-04-27 |
| 1578872685 | Minnesota Oral & Maxillofacial Surgery, P.a. | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2010-10-07 |
| 1376610352 | David Allen Aldrich | Dentist | 9416 S Main St, Plymouth, MI 48170-4157 | 2006-11-29 |
| 1407954761 | Lane Oral & Maxillofacial Surgery PC | Dentist | 30 Resnik Rd, Plymouth, MA 02360 | 2006-09-20 |
| 1831295369 | Norman J Betts | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-09-15 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.