Facial Designs, P.a.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

FACIAL DESIGNS, P.A.

Practice address

11601 Minnetonka Mills Rd
Minnetonka, MN 55305-5161

Phone

(952) 935-8420

Fax

(952) 935-0147

NPI assigned

Aug 24, 2021

Last updated

Sep 12, 2024By 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

Roderick Vansurksum, D.D.S.NPI 1699964320

Title

Oral Surgeon/Owner

Phone

(952) 935-8420

Specialties & licenses 3

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.

• Roderick Duane Vansurksum, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Minnetonka, MN
  • NPI 1699964320
  Authorized official Same address or phone
• Zane Matthew Clark-Gold, DDS, MS

  • Prosthodontics
  • Hopkins, MN
  • NPI 1699443192
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1982371456",
    "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": "FACIAL DESIGNS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "VANSURKSUM",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "ORAL SURGEON/OWNER",
        "authorized_official_telephone_number": "952-935-8420",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Eulberg, DDS
• Stephen Evelsizer, M.D.
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• Daniel Allen Faber, MD
• Mary Beth Fagin, LICSW
• Fairview Express Care
• Kristine Nicole Falness
• Family Connections Counseling Center LLC (Family Connections)
• Family Health Trust Inc

• Oral & Maxillofacial Surgery (D.M.D.) in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.