Oral Facial Surgery PA

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ORAL FACIAL SURGERY PA

Practice address

1029 19TH Ave SW
Willmar, MN 56201

Phone

(320) 235-1803

Fax

(320) 235-6097

NPI assigned

Jan 6, 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

James R Hughes, DDSNPI 1972581650

Title

Ceo

Phone

(320) 235-1803

Specialties & licenses 1

Addresses

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.

• James R Hughes, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Willmar, MN
  • NPI 1972581650
  Authorized official Same address or phone

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710965991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "56201",
            "telephone_number": "320-235-1803",
            "fax_number": "320-235-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "56201",
            "telephone_number": "320-235-1803",
            "fax_number": "320-235-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL FACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-235-1803",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Olson, MD
• Jenee Dawn Olson, LICSW
• Melissa Ann Olson, RN
• Stacy Olson, CNP
• Oral and Maxillofacial Surgery of Minnesota PLLC
• Patricia Osmon, DPT
• Amy Rose Osterfeld, RN, BSN, CNOR, RNFA
• Lisa Osthus, CMT, CMMT, CCNT
• Danielle Overman
• Heather Ann Oxendale, LMFT

• Oral and Maxillofacial Surgery Clinic/Center in Willmar, MN
• Providers in Willmar, MN by specialty
• Oral and Maxillofacial Surgery Clinic/Center 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.