The Oral Surgery Center

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

THE ORAL SURGERY CENTER

Practice address

748 Bielenberg Drive
Suite 160
Woodbury, MN 55125

Phone

(651) 233-2140

Fax

(651) 738-9048

NPI assigned

Jun 4, 2006

Last updated

Sep 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patty Barnard

Title

Business Manager

Phone

(651) 233-2140

Specialties & licenses 7

Addresses

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Jo Snodgrass, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury, MN
  • NPI 1245813872
  NPD
• Michael Patrick Capp, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Coon Rapids, MN
  • NPI 1225425283
  NPD (past)
• Luke Joseph Macmenamin, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury, MN
  • NPI 1679645733
  NPD (past)
• Steven Jay Rodenburg, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury, MN
  • NPI 1457423519
  NPD (past)
• Christopher John Shearen, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury, MN
  • NPI 1518257542
  NPD (past)
• Kyle Burton Tyler, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury, MN
  • NPI 1649630609
  NPD (past)
• Regan Frederick Brown, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • New Richmond, WI
  • NPI 1114143534
  NPD (past)
• Gregory M Burns, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
  • NPI 1295867265
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1104864529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 BIELENBERG DRIVE",
            "address_2": "SUITE 160",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-233-2140",
            "fax_number": "651-738-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BIELENBERG DRIVE",
            "address_2": "SUITE 160",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-233-2140",
            "fax_number": "651-738-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-09-23",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-233-2140"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D9744",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11177",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11556",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "3029015",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5898015",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5897015",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umeng David Thao, MD
• Aimee Tharaldson
• Sunn Sunn H Thaw, M.D
• The Care Team
• The Neighborhood Center LLC
• The Worku Group
• Therex Rehab Specialists, LLC (Fyzical Therapy and Balance Centers Edina)
• Vicky L Therkildsen, CRNP
• Trent N. Thielke, O.D.
• Eric J Thiem, O.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.