INSTITUTE OF FACIAL SURGERY ST PAUL, PLLC
NPI 1477871457
Clinic/Center - Dental in Maplewood, MN

Q: What is Institute Of Facial Surgery St Paul, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since May 14, 2010

1774 COPE AVE E, SUITE 140, MAPLEWOOD, MN 55109(651) 774-9611(651) 748-3704 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Institute Of Facial Surgery St Paul, Pllc NPPES

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

INSTITUTE OF FACIAL SURGERY ST PAUL, PLLC (NPI 1477871457) is a healthcare organization registered as a dental in Maplewood, Minnesota and active in the NPI registry since May 2010. The organization lists Jerry Kent Brunsoman, President, as its authorized official.

NPPES Registry Identity

NPI1477871457

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameINSTITUTE OF FACIAL SURGERY ST PAUL, PLLC

Location Address1774 COPE AVE E, SUITE 140Maplewood, MN 55109-2662

Mailing Address1774 Cope Ave E, Suite 140Maplewood, MN 55109-2662 · (651) 774-9611 · Fax (651) 748-3704

Phone(651) 774-9611

Fax(651) 748-3704

Organization SubpartNo

Authorized OfficialJerry Kent BrunsomanPresident · (651) 774-9611

Enumeration DateMay 14, 2010

Last NPPES UpdateApril 21, 2011

✔ NPI 1477871457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in MN · D6950

1774 COPE AVE E, Maplewood, MN 55109

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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.

JOHN KEITH SCHULTE DDS,MSD

Dentist (Prosthodontics)

1774 COPE AVE E, SUITE 140
MAPLEWOOD, MN 55109

Ramsey County (651) 770-1612

WILLIAM DAVID BUNCE DDS

Dentist (General Practice)

1774 COPE AVE E, SUITE 110
MAPLEWOOD, MN 55109

Ramsey County (651) 777-3620

INSTITUTE OF FACIAL SURGERY ST PAUL

Dentist (Oral and Maxillofacial Surgery)

1774 COPE AVE E, SUITE 140
MAPLEWOOD, MN 55109

Ramsey County (651) 774-9611

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 Institute Of Facial Surgery St Paul, PLLC's NPI number?

The NPI number for Institute Of Facial Surgery St Paul, PLLC is 1477871457. It was assigned to this organization in the NPPES registry on May 14, 2010.

Where is Institute Of Facial Surgery St Paul, PLLC located?

Institute Of Facial Surgery St Paul, PLLC is located at 1774 Cope Ave E Suite 140, Maplewood, MN 55109. The listed phone number is (651) 774-9611.

What is Institute Of Facial Surgery St Paul, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Institute Of Facial Surgery St Paul, PLLC was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.