OrganizationActive
Facial Plastic & Reconstructive Surgery Specialists PA
NPI 1992877088 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Edina, MN
Provider details
- NPI number
- 1992877088
- Entity type
- Organization
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jyl Dinville, Physician Coding & Reimbursement(402) 397-5462
- License
- 23875 (MN)
Specialties & taxonomies
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianPrimary2082S0099XLicense 23875 (MN)
Allopathic & Osteopathic Physicians
Practice location
7373 France Ave S
Suite 410
Edina, MN 55435-4534
Phone: (952) 844-0404
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27015
Omaha, NE 68127-0015
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.