OrganizationActive
The Oral Surgery Center
NPI 1104864529 · Oral & Maxillofacial Surgery (D.M.D.) · Woodbury, MN
Provider details
- NPI number
- 1104864529
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patty Barnard, Business Manager(651) 233-2140
- License
- D11177 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
748 Bielenberg Drive
Suite 160
Woodbury, MN 55125
Phone: (651) 233-2140
Fax: (651) 738-9048
Street-level locationGet directions
Mailing address
748 Bielenberg Drive
Woodbury, MN 55125
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2022-09-23
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.