Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northern Star Oral and Maxillofacial Surgery Pllc

Oral and Maxillofacial Surgery Clinic/Center in St Louis Park, MN · enumerated 2009 · authorized official Julie Chavez, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699901140

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Registry record

Entity type Organization (Type 2)

Legal business name Northern Star Oral and Maxillofacial Surgery Pllc

Practice address 5100 Gamble Dr, Suite 125, St Louis Park, MN, 55416

Phone (952) 465-0105

Fax (952) 465-0106

Enumeration date Jun 10, 2009

Last updated in NPPES Jun 23, 2014

Taxonomy & classification

261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities · License D11399 (MN) Primary

Authorized official

Name Julie Chavez

Title Owner

Phone (952) 465-0105

Other identifiers

Identifier	Type	State	Issuer
CO5268	Other	MN	MEDICARE PTAN
DQ4459	Other	MN	MEDICARE RAILROAD PTAN
187847	Other	MN	U CARE
3AI37NO	Other	MN	BLUE CROSS BLUE SHIELD

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.

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Frequently asked questions

Where is Northern Star Oral and Maxillofacial Surgery Pllc located?

The practice location on file with NPPES is in St Louis Park, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-06-23. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-23.