OrganizationActive
Bluestone Oral and Maxillofacial Surgery, P.A.
NPI 1326290727 · Oral and Maxillofacial Surgery (Dentist) · Cloquet, MN
Provider details
- NPI number
- 1326290727
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Bluestone Oral and Maxillofacial Surgery, P.A.
- Organization subpart
- Yes
- Authorized official
- Jean Southworth, Business Managaer(218) 727-8994
Specialties & taxonomies
Dental Providers
Practice location
1616 Cloquet Ave
Cloquet, MN 55720-1948
Phone: (218) 879-3761
Fax: (218) 879-6057
Approximate (ZIP-level) locationGet directions
Mailing address
324 W Superior St
Duluth, MN 55802-1701
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2008-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.