OrganizationActive
Northside Minnesota Oral and Maxillofacial Surgeons, PLLC
NPI 1245809458 · Oral and Maxillofacial Surgery Clinic/Center · Coon Rapids, MN
Provider details
- NPI number
- 1245809458
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mohamed El Deeb, Owner
Mailing address
11441 Osage St Nw
Coon Rapids, MN 55433-3677
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.