Great Lakes Oral & Maxillofacial Surgery, P.a.

ActiveOrganizationDentistry
NPI issued: August 15, 2007

Quick Facts

NPI Number
1508058322
TypeOrganization
StatusActive
SpecialtyDentistry
Taxonomy1223S0112X — Dentistry
Phone
(651) 351-1010
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1508058322)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 15, 2007)
Data source: CMS NPPES

Provider Overview

GREAT LAKES ORAL & MAXILLOFACIAL SURGERY, P.A. is a Dentistry provider based in Stillwater, MN who has been registered with CMS since 2007. They are affiliated with Richard W Brunton Pa. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1508058322
Provider TypeOrganization
StatusActive
Enumeration DateAugust 15, 2007

Practice Location

CityStillwater
StateMN
ZIP Code55082
Phone(651) 351-1010

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223S0112X
License StateMN

Mailing Address

CityStillwater
StateMN
ZIP Code55082
Phone(651) 351-1010
Same as practice location

Hospital & Organization Affiliations

🏢

Richard W Brunton Pa

📍 ,

How to Use This NPI

📋

For Insurance Billing

Use NPI 1508058322 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1508058322for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1508058322 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
12,064
Dentistry Providers in the US

Similar Providers in Stillwater

Richard Brunton, D.D.S

📍 Stillwater, MN 55082-4079

Martin Tahara, DMD, MD

📍 Stillwater, MN 55082-6044

Steven Johnson, DDS

📍 Stillwater, MN 55082-6044

Ross Sethman, DDS

📍 Stillwater, OK 74074

St Croix Oral, Maxillofacial & Implant Surgery, P.a.

📍 Stillwater, MN 55082-6044

Richard Miller, DDS

📍 Stillwater, OK 74074

Other Healthcare Providers in Stillwater

Randle Respiratory Care, Inc.

Specialty not listed

Gilberto Almanza, RN, ANP, AOCN

Nurse Practitioner

Thomas Zurbriggen, MD

Internal Medicine

Evan Ballard, M.D

Ophthalmology

Associated Eye Care Ltd

Ophthalmology

Douglas Carlson, M.D

Ophthalmology

People Also Ask

What is Great Lakes Oral & Maxillofacial Surgery, P.a.'s NPI number?
Great Lakes Oral & Maxillofacial Surgery, P.a.'s NPI number is 1508058322, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Great Lakes Oral & Maxillofacial Surgery, P.a.'s NPI currently active?
Yes, Great Lakes Oral & Maxillofacial Surgery, P.a.'s NPI status is Active as of the latest CMS NPPES database updates.
What does Great Lakes Oral & Maxillofacial Surgery, P.a. specialize in?
Great Lakes Oral & Maxillofacial Surgery, P.a. specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223S0112X.
Where does Great Lakes Oral & Maxillofacial Surgery, P.a. practice?
Great Lakes Oral & Maxillofacial Surgery, P.a. practices in Stillwater, MN 55082.
When was Great Lakes Oral & Maxillofacial Surgery, P.a.'s NPI issued?
Great Lakes Oral & Maxillofacial Surgery, P.a.'s NPI was issued on August 15, 2007.
What is Great Lakes Oral & Maxillofacial Surgery, P.a.'s provider type?
Great Lakes Oral & Maxillofacial Surgery, P.a. is registered as an Organization under CMS NPI Type 2.