BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.
NPI 1326290727
Dentist - Oral and Maxillofacial Surgery in Cloquet, MN

Q: What is Bluestone Oral And Maxillofacial Surgery, P.A.'s specialty?

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

Active since October 16, 2008

1616 CLOQUET AVE, CLOQUET, MN 55720(218) 879-3761(218) 879-6057 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bluestone Oral And Maxillofacial Surgery, P.a. NPPES

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

BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A. (NPI 1326290727) is a healthcare organization registered as an oral and maxillofacial surgery in Cloquet, Minnesota and active in the NPI registry since October 2008. The organization lists Jean Diane Southworth, Business Managaer, as its authorized official.

NPPES Registry Identity

NPI1326290727

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameBLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.

Location Address1616 CLOQUET AVECloquet, MN 55720-1948

Mailing Address324 W Superior St, Suite 720Duluth, MN 55802-1701 · (218) 727-8994 · Fax (218) 727-8995

Phone(218) 879-3761

Fax(218) 879-6057

Organization SubpartYes

Authorized OfficialJean Diane SouthworthBusiness Managaer · (218) 727-8994

Enumeration DateOctober 16, 2008

✔ NPI 1326290727 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.

1616 CLOQUET AVE, Cloquet, MN 55720

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Other Identifiers 7

Other01630538MN · United Concordia (clouqet)

Medicaid166644400MN

Medicare PINC03316MN

Other6B297JEMN · Blue Cross/blue Shield Mn

OtherU12947MN · Upin#

Other01630541United Concordia (duluth)

OtherDB2954MN · Railroad Medical Group#

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

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 Bluestone Oral And Maxillofacial Surgery, P.A.'s NPI number?

The NPI number for Bluestone Oral And Maxillofacial Surgery, P.A. is 1326290727. It was assigned to this organization in the NPPES registry on October 16, 2008.

Where is Bluestone Oral And Maxillofacial Surgery, P.A. located?

Bluestone Oral And Maxillofacial Surgery, P.A. is located at 1616 Cloquet Ave, Cloquet, MN 55720. The listed phone number is (218) 879-3761.

What is Bluestone Oral And Maxillofacial Surgery, P.A.'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 Bluestone Oral And Maxillofacial Surgery, P.A. was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.