Oral & Maxillofacial Surgery Specialists, PA
NPI 1770694812 · Oral and Maxillofacial Surgery (Dentist) · Waconia, MN
Oral & Maxillofacial Surgery Specialists, PA is a Oral and Maxillofacial Surgery (Dentist) organization in Waconia, MN (NPI 1770694812).
Provider details
- NPI number
- 1770694812
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kirby Johnson, President(612) 788-9246
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Oms Specialists
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2014-07-29
Frequently asked questions
- What is Oral & Maxillofacial Surgery Specialists, PA's NPI number?
- Oral & Maxillofacial Surgery Specialists, PA's National Provider Identifier (NPI) is 1770694812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral & Maxillofacial Surgery Specialists, PA?
- Oral & Maxillofacial Surgery Specialists, PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral & Maxillofacial Surgery Specialists, PA located?
- Oral & Maxillofacial Surgery Specialists, PA's practice location on file with NPPES is 490 S Maple St Ste 102, Waconia, MN 55387-1762.
- What is Oral & Maxillofacial Surgery Specialists, PA's phone number?
- The practice phone number listed in the NPPES registry for Oral & Maxillofacial Surgery Specialists, PA is (952) 442-5448.
- Who is the authorized official for Oral & Maxillofacial Surgery Specialists, PA?
- The authorized official listed on Oral & Maxillofacial Surgery Specialists, PA's NPPES record is Kirby Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral & Maxillofacial Surgery Specialists, PA's NPI active?
- Yes — Oral & Maxillofacial Surgery Specialists, PA's NPI (1770694812) is active in the NPPES registry as of the last update on 2014-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.