DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC
NPI 1366568206
Dentist - Oral and Maxillofacial Surgery in Saint Paul, MN
About Dakota Valley Oral And Maxillofacial Surgery, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC (NPI 1366568206) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Paul, Minnesota and active in the NPI registry since March 2007. The organization lists Michelle Hartmann, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dakota Valley Oral And Maxillofacial Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Dakota Valley Oral And Maxillofacial Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dakota Valley Oral And Maxillofacial Surgery, PLLC's NPI number?
The NPI number for Dakota Valley Oral And Maxillofacial Surgery, PLLC is 1366568206. It was assigned to this organization in the NPPES registry on March 22, 2007.
Where is Dakota Valley Oral And Maxillofacial Surgery, PLLC located?
Dakota Valley Oral And Maxillofacial Surgery, PLLC is located at 2130 Cliff Rd Suite 100, Saint Paul, MN 55122. The listed phone number is (651) 452-6933.
What is Dakota Valley Oral And Maxillofacial Surgery, PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Dakota Valley Oral And Maxillofacial Surgery, PLLC enrolled in Medicare?
Yes. Dakota Valley Oral And Maxillofacial Surgery, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dakota Valley Oral And Maxillofacial Surgery, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Dakota Valley Oral And Maxillofacial Surgery, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (4) and Maxillofacial Surgery (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dakota Valley Oral And Maxillofacial Surgery, PLLC accept?
Health plans from UnitedHealthcare list Dakota Valley Oral And Maxillofacial Surgery, PLLC 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 Dakota Valley Oral And Maxillofacial Surgery, PLLC was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dakota Valley Oral And Maxillofacial Surgery, Pllc · NPI 1366568206
Oral and Maxillofacial Surgery organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1366568206 (Entity type: Organization)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Michelle Hartmann, CLINIC MANAGER
## Practice location
- **Address:** 2130 CLIFF RD, SUITE 100, Saint Paul, MN 55122-2485
- **Phone:** (651) 452-6933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Oral Surgery (4), Maxillofacial Surgery (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2020
- **Other identifiers:** Other 6B354SE (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366568206) · Data from the CMS NPPES public registry.