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CENTRAL LAKES ORAL & FACIAL SURGERY
NPI 1386723575
Dentist - Oral and Maxillofacial Surgery in Sartell, MN

Active since November 06, 2006
2380 TROOP DRIVE, STE 202, SARTELL, MN 56377(320) 257-9555(320) 257-9558 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Lakes Oral & Facial Surgery NPPES

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

CENTRAL LAKES ORAL & FACIAL SURGERY (NPI 1386723575) is a healthcare organization registered as an oral and maxillofacial surgery in Sartell, Minnesota and active in the NPI registry since November 2006. The organization lists Roderick Duane Van Surksum, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1386723575
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRAL LAKES ORAL & FACIAL SURGERY
Location Address2380 TROOP DRIVE, STE 202Sartell, MN 56377
Mailing Address2380 Troop Drive, Ste 202Sartell, MN 56377 · (320) 257-9555 · Fax (320) 257-9558
Phone(320) 257-9555
Fax(320) 257-9558
Organization SubpartNo
Authorized OfficialRoderick Duane Van SurksumOwner Dentist · (320) 257-9555
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386723575 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.
2380 TROOP DRIVE, Sartell, MN 56377
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Other Identifiers 2

Other8600574Medica
OtherA65221025048Preferred

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

DR. MARK ANTHONY BRENNER D.C.
Chiropractor (Rehabilitation)
2380 TROOP DRIVE, SUITE 201
SARTELL, MN 56377
Stearns County (320) 252-5599
CHIROPRACTIC PERFORMANCE CENTER, PA
Clinic/Center (Medical Specialty)
2380 TROOP DRIVE, SUTIE 201
SARTELL, MN 56377
Stearns County (320) 255-0961
DR. SARA JEAN CUPERUS D.C.
Chiropractor (Sports Physician)
2380 TROOP DRIVE, SUITE 201
SARTELL, MN 56377
Stearns County (320) 255-0961

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 Central Lakes Oral & Facial Surgery's NPI number?

The NPI number for Central Lakes Oral & Facial Surgery is 1386723575. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Central Lakes Oral & Facial Surgery located?

Central Lakes Oral & Facial Surgery is located at 2380 Troop Drive Ste 202, Sartell, MN 56377. The listed phone number is (320) 257-9555.

What is Central Lakes Oral & Facial 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 Central Lakes Oral & Facial Surgery accept?

Health plans from UnitedHealthcare list Central Lakes Oral & Facial 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 Central Lakes Oral & Facial Surgery was last updated on August 22, 2020. 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.