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Family Oral Surgery Specialists, PLC — NPI 1730838186, Blaine, MN | NPI Central

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NPI 1730838186

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Family Oral Surgery Specialists, PLC

NPI 1730838186 · Oral and Maxillofacial Surgery (Dentist) · Blaine, MN

Provider details

NPI number: 1730838186
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Parent organization: Family Oral Surgery Specialists, PLC
Organization subpart: Yes
Authorized official: Celia Hayes, Credentialing Coordinator(217) 540-2100

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Practice location

261 County Road 10 Ne Ste 10

Blaine, MN 55434-1020

Phone: (763) 786-9644

Fax: (763) 786-8602

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

261 County Road 10 Ne Ste 10

Blaine, MN 55434-1020

Other names (DBA / former)

Doing business as: Metro Dentalcare Blaine 10

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.