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NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS, PLLC
NPI 1245809458
Clinic/Center - Oral and Maxillofacial Surgery in Coon Rapids, MN

Active since June 22, 2021
11441 OSAGE ST NW, COON RAPIDS, MN 55433(763) 862-6442 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northside Minnesota Oral And Maxillofacial Surgeons, Pllc NPPES

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

NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS, PLLC (NPI 1245809458) is a healthcare organization registered as an oral and maxillofacial surgery in Coon Rapids, Minnesota and active in the NPI registry since June 2021. The organization lists Mohamed El Deeb, Owner, as its authorized official.

NPPES Registry Identity

NPI1245809458
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameNORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS, PLLC
Location Address11441 OSAGE ST NWCoon Rapids, MN 55433-3677
Mailing Address11441 Osage St NwCoon Rapids, MN 55433-3677
Phone(763) 862-6442
Organization SubpartNo
Authorized OfficialMohamed El DeebOwner · (763) 862-6442
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1245809458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center 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.
11441 OSAGE ST NW, Coon Rapids, MN 55433
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Other Providers at the Same Location NPPES 5

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

LISA DOMEYER DDS
Dentist (General Practice)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 757-6600
OSAGE DENTAL ASSOCIATES PA
Dentist (General Practice)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 757-6600
NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
Dentist
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 862-6442
DR. MOHAMED E EL DEEB DDS DOS MS
Dentist (Oral and Maxillofacial Surgery)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 862-6442
DIANE L WOLTER DDS
Dentist (General Practice)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 757-6600

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 Northside Minnesota Oral And Maxillofacial Surgeons, PLLC's NPI number?

The NPI number for Northside Minnesota Oral And Maxillofacial Surgeons, PLLC is 1245809458. It was assigned to this organization in the NPPES registry on June 22, 2021.

Where is Northside Minnesota Oral And Maxillofacial Surgeons, PLLC located?

Northside Minnesota Oral And Maxillofacial Surgeons, PLLC is located at 11441 Osage St NW, Coon Rapids, MN 55433. The listed phone number is (763) 862-6442.

What is Northside Minnesota Oral And Maxillofacial Surgeons, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Northside Minnesota Oral And Maxillofacial Surgeons, PLLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.