Minnesota Oral and Maxillofacial Surgeons

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS

Practice address

1511 Northway Drive
Suite 103
St. Cloud, MN 56303

Phone

(320) 240-0927

NPI assigned

Oct 12, 2007

Last updated

Oct 1, 2008By 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

Dr. Mohamed El DeebNPI 1578552311

Title

Owner/President

Phone

(320) 240-0927

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mohamed E El Deeb, DDS DOS MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Coon Rapids, MN
  • NPI 1578552311
  NPD (past) Authorized official
• Abdollah Rahimi

  • Oral and Maxillofacial Pathology Dentistry
  • Plymouth, MN
  • NPI 1801881370
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1154519338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DRIVE",
            "address_2": "SUITE 103",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DRIVE",
            "address_2": "SUITE 103",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-240-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "EL DEEB",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "320-240-0927",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale J Minnerath, MD
• Minnesota Head and Neck Pain Clinic, PA (Minnesota Head & Neck Pain Clinic)
• Minnesota Health Operations LLC (Newport Academy-St Cloud)
• Minnesota Lifestyle Solutions
• Minnesota Marriage and Family Counseling, LLC
• Minnesota State Colleges (St. Cloud State University Health Service)
• Minnesota State Colleges and Universities (St. Cloud State University Medical Clinic and Counseling)
• Meghan Lyn Minor
• Peter Minor
• Minser Chiropractic Clinic, P.a., Inc.

• Dentist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.