Oral and Maxillofacial Surgery of Minnesota PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL AND MAXILLOFACIAL SURGERY OF MINNESOTA PLLC

Practice address

1029 19TH Ave SW
Willmar, MN 56201-5005

Phone

(320) 235-1803

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Michael Barbick, DMD MDNPI 1174727853

Title

Owner

Phone

(813) 755-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Michael Barbick, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1174727853
  NPD Authorized official
• James R Hughes, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Willmar, MN
  • NPI 1972581650
  NPD
• Dale R Bays, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Joplin, MO
  • NPI 1326025461
  NPD

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1942072871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15170 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131229",
            "telephone_number": "813-755-9100"
        },
        {
            "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": "562015005",
            "telephone_number": "320-235-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY OF MINNESOTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "BARBICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-755-9100",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Olson, MD
• Jenee Dawn Olson, LICSW
• Melissa Ann Olson, RN
• Stacy Olson, CNP
• Stephanie Olson, PMHNP-BC
• Oral Facial Surgery PA
• Patricia Osmon, DPT
• Amy Rose Osterfeld, RN, BSN, CNOR, RNFA
• Lisa Osthus, CMT, CMMT, CCNT
• Danielle Overman

• Oral and Maxillofacial Surgery (Dentist) in Willmar, MN
• Providers in Willmar, 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 Oct 25, 2023; 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.