IndividualActive
Connor Mahoney
NPI 1891229761 · Oral and Maxillofacial Surgery (Dentist) · Monticello, MN
Provider details
- NPI number
- 1891229761
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- S186 (MN)
Specialties & taxonomies
Dental Providers
Practice location
9281 Cedar St
Monticello, MN 55362-4507
Phone: (612) 361-5436
Approximate (ZIP-level) locationGet directions
Mailing address
5000 Jandell Circle Ne
Saint Michael, MN 55376
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2022-08-10
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.