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ADVANCED ORAL SURGERY
NPI 1295218303
Dentist - Oral and Maxillofacial Surgery in Lakeville, MN

Active since September 13, 2018
19925 IDEALIC AVE, LAKEVILLE, MN 55044(507) 327-9574 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Oral Surgery NPPES

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

ADVANCED ORAL SURGERY (NPI 1295218303) is a healthcare organization registered as an oral and maxillofacial surgery in Lakeville, Minnesota and active in the NPI registry since September 2018. The organization lists Jonathan Mccabe, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1295218303
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameADVANCED ORAL SURGERY
Location Address19925 IDEALIC AVELakeville, MN 55044-2003
Mailing Address19318 Impala AveLakeville, MN 55044-1600 · (507) 327-9574
Phone(507) 327-9574
Organization SubpartNo
Authorized OfficialJonathan MccabeOral & Maxillofacial Surgeon · (507) 327-9574
Enumeration DateSeptember 13, 2018
✔ NPI 1295218303 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.
19925 IDEALIC AVE, Lakeville, MN 55044
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Other Identifiers 1

Medicaid1023307113FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Benefits, UnitedHealthcare.Insurance ›

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 Advanced Oral Surgery's NPI number?

The NPI number for Advanced Oral Surgery is 1295218303. It was assigned to this organization in the NPPES registry on September 13, 2018.

Where is Advanced Oral Surgery located?

Advanced Oral Surgery is located at 19925 Idealic Ave, Lakeville, MN 55044. The listed phone number is (507) 327-9574.

What is Advanced Oral Surgery's specialty?

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

What insurance does Advanced Oral Surgery accept?

Health plans from Solstice Benefits and UnitedHealthcare list Advanced Oral Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Oral Surgery was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.