Matthew J Midtling (NPI# 1497098255, PAC ID# 3173859907) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1497098255 |
| PAC ID by PECOS | 3173859907 |
| Professional Enrollment ID | I20190731001804 |
| Full Name | Matthew J Midtling |
| Organization Legal Name | DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY |
| Address |
2130 Cliff Rd Suite 100 Eagan MN 55122-2486 |
| Phone Number | 6514526933 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY |
| Graduation Year | 2013 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 9436127560 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 | 6514526933 | DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY |
| Organization Legal Name | DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra L Stacy | Oral Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Joby E Jaberi | Oral Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Anthony A Indovina Jr. | Maxillofacial Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Scott A Rake | Maxillofacial Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Street Address |
2130 CLIFF RD SUITE 100 |
| City | EAGAN |
| State | MN |
| Zip | 55122-2486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra L Stacy | Oral Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Emily O Hollidge | Clinical Social Worker | 2130 Cliff Rd, 210a, Eagan, MN 55122-2487 | |
| Joby E Jaberi | Oral Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Colin F Hollidge | Clinical Social Worker | 2130 Cliff Rd, Suite 210a, Eagan, MN 55122-2487 | |
| Anthony A Indovina Jr. | Maxillofacial Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Mary A Palmer | Clinical Social Worker | 2130 Cliff Rd, Suite 200, Eagan, MN 55122-2487 | |
| Scott A Rake | Maxillofacial Surgery | Dakota Valley Oral and Maxillofacial Surgery | 2130 Cliff Rd, Suite 100, Eagan, MN 55122-2486 |
| Morgan J Baker | Chiropractic | 2130 Cliff Rd, Suite 200, Eagan, MN 55122-2487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Deckert | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Robert D Lukin | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Barbara A Kaiser | Chiropractic | 3435 Washington Dr, Suite 208, Eagan, MN 55122-1321 | |
| Erin E Carlson | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Benjamin E Stout | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Kathleen F Sadak | Pediatric Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Lindsay M Kuphal | Nurse Practitioner | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Michelle M Svihel | Physician Assistant | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Jeffrey R Michell | Family Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Kamiab Delfanian | Internal Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Find all physicians in zip 55122 | |||
| City | EAGAN |
| Zip Code | 55122 |
| Specialty | ORAL SURGERY |
| City + Specialty | EAGAN + ORAL SURGERY |
Please comment or provide details below to improve the information on Matthew J Midtling.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.