OrganizationActive
Family Oral Surgery Specialists PLC
NPI 1558010967 · Oral and Maxillofacial Pathology Dentistry · Saint Paul, MN
Provider details
- NPI number
- 1558010967
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Parent organization
- Family Oral Surgery Specialists PLC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Specialties & taxonomies
Dental Providers
Practice location
1375 Saint Anthony Ave
Saint Paul, MN 55104-4006
Phone: (651) 286-8153
Approximate (ZIP-level) locationGet directions
Mailing address
1375 Saint Anthony Ave
Saint Paul, MN 55104-4006
Other names (DBA / former)
- Doing business as
- Metro Dentalcare St. Paul Midway - Oral Surgery
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.