OrganizationActive
Advanced Oral Surgery
NPI 1295218303 · Oral and Maxillofacial Surgery (Dentist) · Lakeville, MN
Provider details
- NPI number
- 1295218303
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Mccabe, Oral & Maxillofacial Surgeon(507) 327-9574
Specialties & taxonomies
Dental Providers
Practice location
19925 Idealic Ave
Lakeville, MN 55044-2003
Phone: (507) 327-9574
Approximate (ZIP-level) locationGet directions
Mailing address
19318 Impala Ave
Lakeville, MN 55044-1600
Registry dates
- Enumerated
- 2018-09-13
- Last updated
- 2018-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.