Affiliated Oral and Maxillofacial Surgeons P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

AFFILIATED ORAL AND MAXILLOFACIAL SURGEONS P.A.

Practice address

348 2ND St
Suite 150
Excelsior, MN 55331-1830

Phone

(952) 474-6336

Fax

(952) 474-2468

NPI assigned

May 4, 2009

Last updated

May 4, 2009By 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. Douglas A Carter, D.D.S.

Title

Owner/Partner

Phone

(952) 474-6336

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Zane Matthew Clark-Gold, DDS, MS

  • Prosthodontics
  • Hopkins, MN
  • NPI 1699443192

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1366676553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 2ND ST",
            "address_2": "SUITE 150",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311830",
            "telephone_number": "952-474-6336",
            "fax_number": "952-474-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 2ND ST",
            "address_2": "SUITE 150",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311830",
            "telephone_number": "952-474-6336",
            "fax_number": "952-474-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ORAL AND MAXILLOFACIAL SURGEONS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "952-474-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352518000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315223500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 7-Hi Chiropractic, P.a.
• Allison Holt MD, PA (Allison Holt and Associates)
• Sierra Allison
• Amethyst Wellness, Inc.
• Katherine Anderson
• Kelly Ann Aschenbeck, MD

• Oral and Maxillofacial Surgery (Dentist) in Excelsior, MN
• Providers in Excelsior, 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 May 4, 2009; 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.