OrganizationActive
Esthesia Oral Surgery Care, PA
NPI 1780855171 · Oral and Maxillofacial Pathology Dentistry · Edina, MN
Provider details
- NPI number
- 1780855171
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Keane, Owner/Oral Surgeon(952) 920-3844
- License
- 9671 (MN)
Specialties & taxonomies
Dental Providers
Practice location
3400 W 66th St
Suite 270
Edina, MN 55435-2111
Phone: (952) 920-3844
Fax: (952) 920-3008
Approximate (ZIP-level) locationGet directions
Mailing address
3400 W 66th St
Edina, MN 55435-2111
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.