Esthesia Oral Surgery Care, PA

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

9671 Issued in MN

Legal business name

ESTHESIA ORAL SURGERY CARE, PA

Practice address

3400 W 66TH St
Suite 270
Edina, MN 55435-2111

Phone

(952) 920-3844

Fax

(952) 920-3008

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Maurice Keane Jr., DDSNPI 1891786224

Title

Owner/Oral Surgeon

Phone

(952) 920-3844

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.

• Thomas Maurice Keane Jr., D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Bloomington, MN
  • NPI 1891786224
  Authorized official Same address or phone

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1780855171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST",
            "address_2": "SUITE 270",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352111",
            "telephone_number": "952-920-3844",
            "fax_number": "952-920-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST",
            "address_2": "SUITE 270",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352111",
            "telephone_number": "952-920-3844",
            "fax_number": "952-920-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHESIA ORAL SURGERY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "952-920-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MN",
            "license": "9671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Espenson, M.D.
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• Isabel E Essler, PA-C
• Esther Vogelzang MSW Licsw LLC
• Jerome Edward Euteneuer, D.D.S.
• Evans Chiropractic PA
• Dean R Evans, D.C.
• Robert Evans, RPH
• Sarah Evans, PSYD, LP

• Oral and Maxillofacial Pathology Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Oral and Maxillofacial Pathology Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.