Maxillofacial Imaging LLC

Maxillofacial Imaging LLC is a healthcare organization registered as Radiology Clinic/Center in Maple Grove, MN, holding Type 2 (organization) NPI 1679732119 since 2008. The authorized official on file is Jane Roach, Manager.

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NPI	1679732119
Entity type	Organization (Type 2)
Legal business name	Maxillofacial Imaging LLC
Other name	<Unavail>
Practice address	13998 MAPLE KNOLL WAY, MAPLE GROVE PROFESSIONAL BLD SUITE LL105, Maple Grove, MN, 55369
Phone	7634200070
Enumeration date	2008-06-09
Last updated in NPPES	2008-06-09

Authorized official

Name	Jane Roach
Title	Manager
Phone	7634200070

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QR0200X	Radiology Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Maxillofacial Imaging LLC
NPI: 1679732119
Taxonomy: 261QR0200X (Radiology Clinic/Center)
Address: 13998 MAPLE KNOLL WAY, MAPLE GROVE PROFESSIONAL BLD SUITE LL105, Maple Grove, MN, 55369

Providers at this address

NPI	Name	Type	Specialty	Location
1760487359	Venetia Laganis	Individual	Pediatric Dentistry	Maple Grove, MN
1457374779	Ivan Streif	Individual	Periodontics	Maple Grove, MN
1265535868	Kottemann Orthodontics PA	Organization	Orthodontics and Dentofacial Orthopedics Dentistry	Maple Grove, MN
1639244650	Darrel Johnsrud	Individual	General Practice Dentistry	Maple Grove, MN
1558536151	Venetia Laganis, DDS, PA	Organization	Pediatric Dentistry	Maple Grove, MN
1053609115	Scott Kottemann	Individual	Orthodontics and Dentofacial Orthopedics Dentistry	Maple Grove, MN
1316361710	Pipe Trade Healthcare Services	Organization	Primary Care Clinic/Center	Maple Grove, MN

Verify this record

Cross-check NPI 1679732119 against the authoritative CMS record: view Maxillofacial Imaging LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-09. Verify at npiregistry.cms.hhs.gov.

Where is Maxillofacial Imaging LLC located?

The practice location on file with NPPES is in Maple Grove, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-09.