Midwest Oral & Maxillofacial Surgery PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MIDWEST ORAL & MAXILLOFACIAL SURGERY PA

Practice address

13875 Hwy 13 Frontage Rd
Ste 50
Savage, MN 55378

Phone

(952) 226-7940

Fax

(952) 226-7949

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Warren Hueler, DDSNPI 1588767461

Title

President

Phone

(952) 226-7940

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Warren Hueler, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Savage, MN
  • NPI 1588767461
  NPD (past) Authorized official
• Jee Hyun Lyu, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Savage, MN
  • NPI 1538417795
  NPD (past)
• Noah Ari Sandler, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Savage, MN
  • NPI 1013019389
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003983701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13875 HWY 13 FRONTAGE RD",
            "address_2": "STE 50",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-226-7940",
            "fax_number": "952-226-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13875 HWY 13 FRONTAGE RD",
            "address_2": "STE 50",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-226-7940",
            "fax_number": "952-226-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORAL & MAXILLOFACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUELER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-226-7940",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meyer Poe, P.a.
• Brooke Micholic, DC
• Laura A Mickelson, CRNA
• James Robert Midboe, DC
• Midwest Oral & Facial Surgery PLLC
• Jesse Alexander Miller
• Marissa Miller
• Sarah Elizabeth Minder, LADC
• Christina Marie Miner, M.S., LPCC
• Minnesota Medical Buyers Source

• Oral and Maxillofacial Surgery (Dentist) in Savage, MN
• Providers in Savage, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.