ST. PAUL ORAL SURGERY, P.A.
NPI 1548218910
Dentist - Oral and Maxillofacial Surgery in South St Paul, MN

Active since May 05, 2006
710 19TH AVE N, SUITE 300, SOUTH ST PAUL, MN 55075(651) 451-1873(651) 451-8010 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About ST. PAUL ORAL SURGERY, P.A.

This page provides the complete NPI Profile along with additional information for St. Paul Oral Surgery, P.a., a provider established in South St Paul, Minnesota operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1548218910 assigned on May 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 7933 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dale Victor Olson D.d.s. (President)

NPI
1548218910 Verify this NPI
Provider Name
ST. PAUL ORAL SURGERY, P.A.
Entity Type
Organization
Location Address
710 19TH AVE N SUITE 300 SOUTH ST PAUL, MN 55075
Location Phone
(651) 451-1873
Location Fax
(651) 451-8010
Mailing Address
710 19TH AVE N SUITE 300 SOUTH ST PAUL, MN 55075
Mailing Phone
(651) 451-1873
Mailing Fax
(651) 451-8010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like St. Paul Oral Surgery, P.a. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
7933
License State
MN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DALE VICTOR OLSON D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 451-1873

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
710 19TH AVE N, SUITE 300
SOUTH ST PAUL, MN 55075
Dentist (Oral and Maxillofacial Surgery)
710 19TH AVE N, SUITE 300
SOUTH ST PAUL, MN 55075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548218910, enumerated as an "organization" on May 05, 2006.

The provider is located at 710 19TH AVE N SUITE 300 SOUTH ST PAUL, MN 55075 and the phone number is (651) 451-1873.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.