MINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A. (NPI# 1427367531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427367531 |
| Entity Type | Organization |
| Organization Name | MINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A. |
| Practice Address |
6545 France Ave S Suite 690 Edina MN 55435-2131 |
| Practice Telephone | 9529252525 |
| Practice Fax Number | 9529252529 |
| Mailing Telephone | 9529252525 |
| Mailing Fax Number | 9529252529 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Authorized Official Name | DR. PAUL C TOMPACH (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9529252525 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578872685 | Minnesota Oral & Maxillofacial Surgery, P.a. | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2010-10-07 |
| Street Address |
6545 FRANCE AVE S SUITE 690 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569042 | Paul S. Gotlieb | Internal Medicine | 6545 France Ave S, Suite 150, Edina, MN 55435-2131 | 2005-06-21 |
| 1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
| 1144879396 | Sarah Pupkes Clark | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2019-09-10 |
| 1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
| 1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
| 1255877031 | Jami Teresa Weiss | Physician Assistant | 6545 France Ave S, 450, Edina, MN 55435-2131 | 2017-01-17 |
| 1952847741 | Kc Core Mn Pllc | Chiropractor | 6545 France Ave S, Suite 301, Edina, MN 55435-2131 | 2017-01-17 |
| 1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
| 1366894180 | Angela Yarbrough | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2016-07-05 |
| 1467842419 | Steven Pals | Nurse Practitioner | 6545 France Ave S, Suite 450, Edina, MN 55435-2131 | 2015-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1689807901 | Jonathan Thomas Misner | Dentist | 5130 Lincoln Dr, Edina, MN 55436-1010 | 2009-09-03 |
| 1235492059 | Bradley Marc Sundick | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2012-06-18 |
| 1275892218 | Edina Oral and Maxillofacial Surgery, P.a. | Dentist | 6545 France Ave S, Suite 690, Edina, MN 55435-2131 | 2012-05-11 |
| 1043476054 | Andrew Graham Pearson | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2008-07-30 |
| 1215104534 | Jennifer Lynn Beaudin | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2008-05-15 |
| 1720148687 | Todd Christopher Gerlach | Dentist | 6545 France Ave S, Edina, MN 55435-2131 | 2006-12-11 |
| 1619049921 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2006-11-14 |
| 1801869045 | Frederick J Haas | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2006-02-08 |
| 1609849850 | Stephen R Gulbrandsen | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2006-02-08 |
| 1942272489 | Mark R Omlie | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2006-02-07 |
| Find all providers in EDINA | ||||
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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.