St Croix Oral, Maxillofacial & Implant Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ST CROIX ORAL, MAXILLOFACIAL & IMPLANT SURGERY, P.A.

Practice address

1701 Curve Crest Blvd W
Suite 108
Stillwater, MN 55082-6044

Phone

(651) 439-8030

Fax

(651) 351-0821

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2020By 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. Steven D Johnson, D.D.S.NPI 1023088622

Title

President

Phone

(651) 439-8030

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.

• Steven D Johnson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, MN
  • NPI 1023088622
  NPD (past) Authorized official
• Martin A Tahara, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, MN
  • NPI 1053381061
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427129717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CURVE CREST BLVD W",
            "address_2": "SUITE 108",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826044",
            "telephone_number": "651-439-8030",
            "fax_number": "651-351-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CURVE CREST BLVD W",
            "address_2": "SUITE 108",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826044",
            "telephone_number": "651-439-8030",
            "fax_number": "651-351-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX ORAL, MAXILLOFACIAL & IMPLANT SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-439-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Care One, PA (stillpoint)
• Spine and Sport Chiropractic
• Shelley L Spitzer, OTR
• Sandra Lea Spore, RN DC DABCI DACBN
• St Croix Drug Company
• St Croix Vision Center Inc.
• Jennifer St Sauver
• St. Croix Dermatology, PA
• St. Croix Orthopaedics, P.a. (Orthotic Center)
• St. Croix Orthopaedics, P.a.

• Oral and Maxillofacial Surgery (Dentist) in Stillwater, MN
• Providers in Stillwater, 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.