MINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A.
NPI 1578872685
Dentist - Oral and Maxillofacial Surgery in Plymouth, MN

Q: What is Minnesota Oral & Maxillofacial Surgery, P.A.'s specialty?

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

Active since October 07, 2010

15655 37TH AVE. N., 280, PLYMOUTH, MN 55446(763) 520-1234(763) 520-1233 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Minnesota Oral & Maxillofacial Surgery, P.a. NPPES

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

MINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A. (NPI 1578872685) is a healthcare organization registered as an oral and maxillofacial surgery in Plymouth, Minnesota and active in the NPI registry since October 2010. The organization lists William P Hoffmann, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1578872685

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A.

Location Address15655 37TH AVE. N., 280Plymouth, MN 55446-4000

Mailing Address15655 37th Ave. N., 280Plymouth, MN 55446-4000 · (763) 520-1234 · Fax (763) 520-1233

Phone(763) 520-1234

Fax(763) 520-1233

Organization SubpartNo

Authorized OfficialWilliam P HoffmannOwner/partner · (952) 925-2525

Enumeration DateOctober 7, 2010

Last NPPES UpdateOctober 30, 2014

✔ NPI 1578872685 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.

15655 37TH AVE. N., Plymouth, MN 55446

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minnesota Oral & Maxillofacial Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Minnesota Oral & Maxillofacial Surgery, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

William Hoffmann, D.D.S.

Oral Surgery

NPI 1619947314

15655 37TH AVE. N. 280
Plymouth, MN 55446

(763) 520-1234

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oral & Maxillofacial Surgery, P.A.'s NPI number?

The NPI number for Minnesota Oral & Maxillofacial Surgery, P.A. is 1578872685. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is Minnesota Oral & Maxillofacial Surgery, P.A. located?

Minnesota Oral & Maxillofacial Surgery, P.A. is located at 15655 37th Ave. N. 280, Plymouth, MN 55446. The listed phone number is (763) 520-1234.

What is Minnesota Oral & Maxillofacial Surgery, P.A.'s specialty?

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

Is Minnesota Oral & Maxillofacial Surgery, P.A. enrolled in Medicare?

Yes. Minnesota Oral & Maxillofacial Surgery, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minnesota Oral & Maxillofacial Surgery, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Minnesota Oral & Maxillofacial Surgery, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Minnesota Oral & Maxillofacial Surgery, P.A. was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.