OrganizationActive
Associates in Oral and Maxillofacial Surgery, P.A.
NPI 1578596177 · Oral and Maxillofacial Surgery (Dentist) · Mankato, MN
Provider details
- NPI number
- 1578596177
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kimberly Urban, Practice Manager(507) 625-9330
Specialties & taxonomies
Dental Providers
Practice location
1990 Premiere Dr
Mankato, MN 56001-5900
Phone: (507) 625-9330
Fax: (507) 625-1440
Approximate (ZIP-level) locationGet directions
Mailing address
1990 Premiere Dr
Mankato, MN 56001-5900
Registry dates
- Enumerated
- 2006-07-08
- 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.