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

11601 Minnetonka Mills Rd
Minnetonka, MN 55305-5161

Phone

(952) 935-8420

Fax

(952) 935-0147

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Carl Block, DDS

Title

Owner/President

Phone

(952) 935-8420

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Douglas Alan Carter, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Minnetonka, MN
  • NPI 1376689869

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1679620801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 MINNETONKA MILLS RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055161",
            "telephone_number": "952-935-8420",
            "fax_number": "952-935-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MINNETONKA MILLS RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055161",
            "telephone_number": "952-935-8420",
            "fax_number": "952-935-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ORAL AND MAXILLOFACIAL SURGEONS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-935-8420",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315223500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352518000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Minnetonka, MN
• Providers in Minnetonka, 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 Dec 14, 2015; 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.