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Oral & Maxillofacial Surgery Specialists, PA

Oral and Maxillofacial Surgery (Dentist) in Maple Grove, MN · enumerated 2006 · authorized official Kirby Johnson, President.

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

National Provider Identifier

1902917057

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Registry record

Entity type Organization (Type 2)
Legal business name Oral & Maxillofacial Surgery Specialists, PA
Other name <Unavail>
Practice address 13784 83rd Way N Ste 92, Maple Grove, MN, 55369
Phone (763) 494-8825
Fax (763) 494-3269
Enumeration date Aug 31, 2006
Last updated in NPPES Jul 29, 2014

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Kirby Johnson
Title President
Phone (612) 788-9246

Other identifiers

Identifier Type State Issuer
1912928789 Other MN NPI

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

Who is the authorized official for Oral & Maxillofacial Surgery Specialists, PA?
NPPES lists Kirby Johnson (President) as the authorized official for this organization.
What is the NPI number for Oral & Maxillofacial Surgery Specialists, PA?
The NPI for Oral & Maxillofacial Surgery Specialists, PA is 1902917057, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-29.