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VALLEY ORAL & FACIAL SURGERY PC
NPI 1093133696
Dentist - Oral and Maxillofacial Surgery in Grand Forks, ND

Active since April 01, 2014
1165 S COLUMBIA RD STE C, GRAND FORKS, ND 58201(701) 772-7379(701) 772-9643 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Valley Oral & Facial Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY ORAL & FACIAL SURGERY PC (NPI 1093133696) is a healthcare organization registered as an oral and maxillofacial surgery in Grand Forks, North Dakota and active in the NPI registry since April 2014. The organization lists Troy Richard Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1093133696
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameVALLEY ORAL & FACIAL SURGERY PC
Location Address1165 S COLUMBIA RD STE CGrand Forks, ND 58201-4007
Mailing Address3187 Bluestem Dr Ste 4West Fargo, ND 58078-8008 · (701) 235-7379 · Fax (701) 235-0977
Phone(701) 772-7379
Fax(701) 772-9643
Organization SubpartNo
Authorized OfficialTroy Richard PetersenPresident · 70017727379
Enumeration DateApril 1, 2014
Last NPPES UpdateMay 19, 2014
✔ NPI 1093133696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1165 S COLUMBIA RD STE C, Grand Forks, ND 58201
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Other Identifiers 4

Medicare UPINN712544ND
Medicaid41399ND
Medicaid14082ND
Medicaid497449200MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCUS BRIAN TANABE DDS
Dentist (Oral and Maxillofacial Surgery)
1165 S COLUMBIA RD STE C
GRAND FORKS, ND 58201
Grand Forks County (701) 772-7379
VALLEY ORAL & FACIAL SURGERY PC
Clinic/Center (Oral and Maxillofacial Surgery)
1165 S COLUMBIA RD STE C
GRAND FORKS, ND 58201
Grand Forks County (701) 772-7379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Oral & Facial Surgery PC's NPI number?

The NPI number for Valley Oral & Facial Surgery PC is 1093133696. It was assigned to this organization in the NPPES registry on April 1, 2014.

Where is Valley Oral & Facial Surgery PC located?

Valley Oral & Facial Surgery PC is located at 1165 S Columbia Rd Ste C, Grand Forks, ND 58201. The listed phone number is (701) 772-7379.

What is Valley Oral & Facial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Valley Oral & Facial Surgery PC was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.