MINNESOTA MAXILLOFACIAL AND ORAL CONSULTANTS
NPI 1417034661
Dentist - Oral and Maxillofacial Surgery in Plymouth, MN

Q: What is Minnesota Maxillofacial And Oral Consultants's specialty?

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

Active since November 01, 2006

15600 36TH AVE N STE 100, PLYMOUTH, MN 55446(763) 559-7688(763) 559-2237 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Minnesota Maxillofacial And Oral Consultants NPPES

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

MINNESOTA MAXILLOFACIAL AND ORAL CONSULTANTS (NPI 1417034661) is a healthcare organization registered as an oral and maxillofacial surgery in Plymouth, Minnesota and active in the NPI registry since November 2006. The organization lists Abdollah Rahimi, Owner, as its authorized official.

NPPES Registry Identity

NPI1417034661

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMINNESOTA MAXILLOFACIAL AND ORAL CONSULTANTS

Location Address15600 36TH AVE N STE 100Plymouth, MN 55446-3369

Mailing Address15600 36th Ave N Ste 100Plymouth, MN 55446-3369 · (763) 559-7688 · Fax (763) 559-2237

Phone(763) 559-7688

Fax(763) 559-2237

Organization SubpartNo

Authorized OfficialAbdollah RahimiOwner · (763) 559-7688

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417034661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MN · D10465

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.

15600 36TH AVE N STE 100, Plymouth, MN 55446

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Other Identifiers 1

Other52D13MIMN · Blue Cross/blue Shield

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 Minnesota Maxillofacial And Oral Consultants's NPI number?

The NPI number for Minnesota Maxillofacial And Oral Consultants is 1417034661. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Minnesota Maxillofacial And Oral Consultants located?

Minnesota Maxillofacial And Oral Consultants is located at 15600 36th Ave N Ste 100, Plymouth, MN 55446. The listed phone number is (763) 559-7688.

What is Minnesota Maxillofacial And Oral Consultants'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 Minnesota Maxillofacial And Oral Consultants 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.