OrganizationActive
Centrasota Oral & Maxillofacial Surgeons, P.A.
NPI 1598710477 · Oral and Maxillofacial Surgery (Dentist) · Saint Cloud, MN
Provider details
- NPI number
- 1598710477
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Robert Keck, President(320) 252-3611
Specialties & taxonomies
Dental Providers
Practice location
3950 Veterans Dr
Suite 100
Saint Cloud, MN 56303-3410
Phone: (320) 252-3611
Fax: (320) 252-7574
Approximate (ZIP-level) locationGet directions
Mailing address
3950 Veterans Dr
Saint Cloud, MN 56303-3410
Registry dates
- Enumerated
- 2006-05-22
- 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.