ESTHESIA ORAL SURGERY CARE, PA


Address: 3400 W 66th St, Suite 270, Edina, MN 55435-2111
Phone: 9529203844

ESTHESIA ORAL SURGERY CARE, PA (NPI# 1780855171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780855171
Entity Type Organization
Organization Name ESTHESIA ORAL SURGERY CARE, PA
Practice Address 3400 W 66th St
Suite 270
Edina
MN 55435-2111
Practice Telephone 9529203844
Practice Fax Number 9529203008
Mailing Telephone 9529203844
Mailing Fax Number 9529203008
Enumeration Date 2008-03-13
Last Update Date 2008-03-13
Authorized Official Name DR. THOMAS MAURICE KEANE JR. (OWNER/ORAL SURGEON)
Authorized Official Telephone 9529203844
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
9671 MN Dental Providers

Office Location

Street Address 3400 W 66TH ST
SUITE 270
City EDINA
State MN
Zip Code 55435-2111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821094392 Lisa T Ley Physician Assistant 3400 W 66th St, Ste 385, Edina, MN 55435-2197 2005-06-21
1033689674 Nicholas Roffers Speech-Language Pathologist 3400 W 66th St, Edina, MN 55435-2111 2018-11-27
1003351156 Lindsay Kuphal Nurse Practitioner 3400 W 66th St, Edina, MN 55435-2111 2016-12-28
1326410580 Jody Bishop Hearing Instrument Specialist 3400 W 66th St, Ste 140, Edina, MN 55435-2109 2015-10-28
1730555889 Danielle Bandholz Nurse Practitioner 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2015-08-12
1780067033 Katherine Marie Breezley Registered Nurse 3400 W 66th St, Edina, MN 55435-2111 2015-07-06
1861885881 Connect Hearing, Inc. Audiologist 3400 W 66th St, Ste 140, Edina, MN 55435-2111 2015-03-16
1124419825 Lauren Christine Bloomgren Hearing Instrument Specialist 3400 W 66th St, Suite 140, Edina, MN 55435-2111 2015-02-17
1346657160 Fairview Health Services Family Medicine 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2014-07-14
1821437955 Sarah Watkins Lee Registered Nurse 3400 W 66th St, 290, Edina, MN 55435-2111 2013-06-21
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609844760 Daniel Joseph Gatto Dentist 9950 Valley Creek Rd, Woodbury, MN 55125-4883 2006-03-14
1194702647 James Immanuel Midtling Dentist 155 Wabasha St S, Suite #111, Saint Paul, MN 55107-1801 2005-12-27
1891786224 Thomas Maurice Keane Jr. Dentist 8900 Penn Ave So., Suite 211, Bloomington, MN 55431 2005-11-03
1669461554 James Barthel Dentist 925 Highway 55, Ste 202, Hastings, MN 55033-3734 2005-10-14
1912996802 Michael Downie Dentist 8480 Woodbury Xing Ste 120, Woodbury, MN 55125-9406 2005-10-14
1801881370 Abdollah Rahimi Dentist 15600 36th Ave N, Suite 100, Plymouth, MN 55446-3369 2005-09-12
1992703987 James P Hughes Dentist 50 W 2nd St, Suite 201, Winona, MN 55987-3440 2005-07-13
1821185844 Anupama Grandhi Dentist 1720 Highway 59 S, Thief River Falls, MN 56701-4331 2006-10-10
1598865651 Family Oral Surgery Specialists Plc Dentist 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 2006-09-25
1588767461 Gregory Warren Hueler Dentist 13875 Hwy 13 Frontage Rd, Suite 50, Savage, MN 55378 2006-09-06
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Competitor

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City EDINA
Zip Code 55435

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Dataset Information

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.

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