OrganizationActive
Northern Star Oral and Maxillofacial Surgery PLLC
NPI 1699901140 · Oral and Maxillofacial Surgery Clinic/Center · St Louis Park, MN
Provider details
- NPI number
- 1699901140
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Chavez, Owner(952) 465-0105
- License
- D11399 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
5100 Gamble Dr
Suite 125
St Louis Park, MN 55416-1585
Phone: (952) 465-0105
Fax: (952) 465-0106
Street-level locationGet directions
Mailing address
5100 Gamble Dr
St Louis Park, MN 55416-1585
Registry dates
- Enumerated
- 2009-06-10
- Last updated
- 2014-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.