Oral and Maxillofacial Surgical Associates PA
NPI 1104911056 · Oral and Maxillofacial Surgery (Dentist) · Duluth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oral and Maxillofacial Surgical Associates PA is a Oral and Maxillofacial Surgery (Dentist) organization in Duluth, MN (NPI 1104911056).
Provider details
- NPI number
- 1104911056
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Katherine Lafleur, Practice Administrator(218) 722-1854
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Blue Water Oral and Facial Surgery
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Frequently asked questions
- What is Oral and Maxillofacial Surgical Associates PA's NPI number?
- Oral and Maxillofacial Surgical Associates PA's National Provider Identifier (NPI) is 1104911056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral and Maxillofacial Surgical Associates PA?
- Oral and Maxillofacial Surgical Associates PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral and Maxillofacial Surgical Associates PA located?
- Oral and Maxillofacial Surgical Associates PA's practice location on file with NPPES is 1000 E 1st St Ste 108, Duluth, MN 55805-2297.
- What is Oral and Maxillofacial Surgical Associates PA's phone number?
- The practice phone number listed in the NPPES registry for Oral and Maxillofacial Surgical Associates PA is (218) 722-1854.
- Does Oral and Maxillofacial Surgical Associates PA accept Medicare?
- Oral and Maxillofacial Surgical Associates PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oral and Maxillofacial Surgical Associates PA?
- The authorized official listed on Oral and Maxillofacial Surgical Associates PA's NPPES record is Katherine Lafleur, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral and Maxillofacial Surgical Associates PA's NPI active?
- Yes — Oral and Maxillofacial Surgical Associates PA's NPI (1104911056) is active in the NPPES registry as of the last update on 2025-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.