OrganizationActive
Associated Oral and Maxillofacial Surgeons, PA
NPI 1457495491 · Oral and Maxillofacial Surgery (Dentist) · Fridley, MN
Provider details
- NPI number
- 1457495491
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Paul Stannard, Oral Surgeon(763) 574-1639
Specialties & taxonomies
Dental Providers
Practice location
7136 University Ave Ne
Fridley, MN 55432-3100
Phone: (763) 574-1639
Approximate (ZIP-level) locationGet directions
Mailing address
7136 University Ave Ne
Fridley, MN 55432-3100
Registry dates
- Enumerated
- 2007-02-15
- 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.