MINNEAPOLIS ORAL & MAXILLOFACIAL SURGERY
NPI 1497890594
Dentist - Oral and Maxillofacial Surgery in Minneapolis, MN

Active since February 20, 2007
825 NICOLLET MALL, SUITE 707 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN 55402(612) 333-3381(612) 334-3318 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Minneapolis Oral & Maxillofacial Surgery NPPES

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

MINNEAPOLIS ORAL & MAXILLOFACIAL SURGERY (NPI 1497890594) is a healthcare organization registered as an oral and maxillofacial surgery in Minneapolis, Minnesota and active in the NPI registry since February 2007. The organization lists Michael K Sutley, President, as its authorized official.

NPPES Registry Identity

NPI1497890594
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHAEL K SUTLEY DDS PA
Location Address825 NICOLLET MALL, SUITE 707 MEDICAL ARTS BUILDINGMinneapolis, MN 55402-2606
Mailing Address825 Nicollet Mall, Suite 707 Medical Arts BuildingMinneapolis, MN 55402-2606 · (612) 333-3381 · Fax (612) 334-3318
Fax(612) 334-3318
Organization SubpartNo
Authorized OfficialMichael K SutleyPresident · (612) 333-3381
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1497890594 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 · D9086
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.
825 NICOLLET MALL, Minneapolis, MN 55402

Other Names 1

Doing Business AsMinneapolis Oral & Maxillofacial Surgery

Other Identifiers 4

Other41426ORMN · Blue Cross Blue Shield
Other01007972MN · Preferred One
Other8080107MN · Medica Medical
Other8622286MN · Medica Dental

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

Other Providers at the Same Location NPPES 20

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

Psychologist
825 NICOLLET MALL, SUITE 1630
MINNEAPOLIS, MN 55402
Dermatology
825 NICOLLET MALL, SUITE 1002
MINNEAPOLIS, MN 55402
Dentist
825 NICOLLET MALL
MINNEAPOLIS, MN 55402
Dentist (General Practice)
825 NICOLLET MALL, 829 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Podiatrist (Foot Surgery)
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Podiatrist
825 NICOLLET MALL, SUITE 601
MINNEAPOLIS, MN 55402
Chiropractor
825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402
Physical Medicine & Rehabilitation (Pain Medicine)
825 NICOLLET MALL, SUITE #1453
MINNEAPOLIS, MN 55402

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 Michael K Sutley Dds PA's NPI number?

The NPI number for Michael K Sutley Dds PA is 1497890594. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Minneapolis Oral & Maxillofacial Surgery.

Where is Michael K Sutley Dds PA located?

Michael K Sutley Dds PA is located at 825 Nicollet Mall Suite 707 Medical Arts Building, Minneapolis, MN 55402. The listed phone number is (612) 333-3381.

What is Michael K Sutley Dds PA'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 Michael K Sutley Dds PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.