OrganizationActive
Oral Facial Surgery PA
NPI 1710965991 · Oral and Maxillofacial Surgery Clinic/Center · Willmar, MN
Provider details
- NPI number
- 1710965991
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Hughes, Ceo(320) 235-1803
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1029 19th Ave Sw
Willmar, MN 56201
Phone: (320) 235-1803
Fax: (320) 235-6097
Street-level locationGet directions
Mailing address
1029 19th Ave Sw
Willmar, MN 56201
Registry dates
- Enumerated
- 2006-01-06
- 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.