Central Lakes Oral & Facial Surgery
NPI 1386723575 · Oral and Maxillofacial Surgery (Dentist) · Sartell, MN
Central Lakes Oral & Facial Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in Sartell, MN (NPI 1386723575).
Provider details
- NPI number
- 1386723575
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Roderick Van Surksum, Owner Dentist(320) 257-9555
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
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Central Lakes Oral & Facial Surgery's NPI number?
- Central Lakes Oral & Facial Surgery's National Provider Identifier (NPI) is 1386723575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Lakes Oral & Facial Surgery?
- Central Lakes Oral & Facial Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Central Lakes Oral & Facial Surgery located?
- Central Lakes Oral & Facial Surgery's practice location on file with NPPES is 2380 Troop Drive, Sartell, MN 56377.
- What is Central Lakes Oral & Facial Surgery's phone number?
- The practice phone number listed in the NPPES registry for Central Lakes Oral & Facial Surgery is (320) 257-9555.
- Who is the authorized official for Central Lakes Oral & Facial Surgery?
- The authorized official listed on Central Lakes Oral & Facial Surgery's NPPES record is Roderick Van Surksum, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Lakes Oral & Facial Surgery's NPI active?
- Yes — Central Lakes Oral & Facial Surgery's NPI (1386723575) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.