Minnesota Oral and Facial Surgery PLLC
NPI 1194363275 · Oral and Maxillofacial Surgery (Dentist) · Sartell, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minnesota Oral and Facial Surgery PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Sartell, MN (NPI 1194363275).
Provider details
- NPI number
- 1194363275
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Deepak Kademani, Owner(612) 568-0570
Specialties & taxonomies
Dental Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Minnesota Oral and Facial Surgery PLLC's NPI number?
- Minnesota Oral and Facial Surgery PLLC's National Provider Identifier (NPI) is 1194363275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Oral and Facial Surgery PLLC?
- Minnesota Oral and Facial Surgery PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Minnesota Oral and Facial Surgery PLLC located?
- Minnesota Oral and Facial Surgery PLLC's practice location on file with NPPES is 2380 Troop Dr Unit 202, Sartell, MN 56377-4637.
- What is Minnesota Oral and Facial Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Oral and Facial Surgery PLLC is (320) 257-9555.
- Does Minnesota Oral and Facial Surgery PLLC accept Medicare?
- Minnesota Oral and Facial Surgery PLLC 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 Minnesota Oral and Facial Surgery PLLC?
- The authorized official listed on Minnesota Oral and Facial Surgery PLLC's NPPES record is Deepak Kademani, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Oral and Facial Surgery PLLC's NPI active?
- Yes — Minnesota Oral and Facial Surgery PLLC's NPI (1194363275) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.