OrganizationActive
Maxillofacial Imaging LLC
NPI 1477712008 · Radiology Clinic/Center · Roseville, MN
Provider details
- NPI number
- 1477712008
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Roach, Manager(651) 636-3050
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2860 Snelling Ave N
Suite 2
Roseville, MN 55113-1438
Phone: (651) 636-3050
Street-level locationGet directions
Mailing address
2860 Snelling Ave N
Roseville, MN 55113-1438
Other names (DBA / former)
- Doing business as
- Advanced Head & Neck Imaging
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.