OrganizationActive
Central Lakes Oral & Facial Surgery
NPI 1386723575 · Oral and Maxillofacial Surgery (Dentist) · Sartell, MN
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
Practice location
2380 Troop Drive
Ste 202
Sartell, MN 56377
Phone: (320) 257-9555
Fax: (320) 257-9558
Approximate (ZIP-level) locationGet directions
Mailing address
2380 Troop Drive
Sartell, MN 56377
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 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.