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CENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A.
NPI 1598710477
Dentist - Oral and Maxillofacial Surgery in Saint Cloud, MN

Active since May 22, 2006
3950 VETERANS DR, SUITE 100, SAINT CLOUD, MN 56303(320) 252-3611(320) 252-7574 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centrasota Oral & Maxillofacial Surgeons, P.a. NPPES

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

CENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A. (NPI 1598710477) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Cloud, Minnesota and active in the NPI registry since May 2006. The organization lists Robert J Keck, President, as its authorized official.

NPPES Registry Identity

NPI1598710477
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A.
Location Address3950 VETERANS DR, SUITE 100Saint Cloud, MN 56303-3410
Mailing Address3950 Veterans Dr, Suite 100Saint Cloud, MN 56303-3410 · (320) 252-3611 · Fax (320) 252-7574
Phone(320) 252-3611
Fax(320) 252-7574
Organization SubpartNo
Authorized OfficialRobert J KeckPresident · (320) 252-3611
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598710477 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.
3950 VETERANS DR, Saint Cloud, MN 56303
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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 12

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

DONALD M. PRIMLEY D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 56303
Stearns County (320) 252-3611
SCOTT ERIC STAMP DDS
Dentist
3950 VETERANS DR, #101
ST CLOUD, MN 56303
Stearns County (320) 252-3330
DR. MICHAEL JEROME SCHIFF D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 56303
Stearns County (320) 252-3611
RENEE CASSIDY INGRAM BECHLY D.M.D.
Dentist (Pediatric Dentistry)
3950 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 253-8380
CENTRASOTA EYE CARE, INC
Eyewear Supplier
3950 VETERANS DR, SUITE 103
SAINT CLOUD, MN 56303
Stearns County (320) 258-2020
SCOTT E STAMP DDS PLLC ROBERT W CONGDON DMD
Dentist
3950 VETERANS DR, #101
SAINT CLOUD, MN 56303
Stearns County (320) 252-3330
SHARON KAY LORTON M.S., O.D.
Optometrist
3950 VETERANS DR, 3950 VETERANS DR.
SAINT CLOUD, MN 56303
Stearns County (320) 258-2020
HAROLD MACHESKY D.D.S.,M.S.
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 56303
Stearns County (320) 252-3611

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

The NPI number for Centrasota Oral & Maxillofacial Surgeons, P.A. is 1598710477. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Centrasota Oral & Maxillofacial Surgeons, P.A. located?

Centrasota Oral & Maxillofacial Surgeons, P.A. is located at 3950 Veterans Dr Suite 100, Saint Cloud, MN 56303. The listed phone number is (320) 252-3611.

What is Centrasota Oral & Maxillofacial Surgeons, P.A.'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 Centrasota Oral & Maxillofacial Surgeons, P.A. 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.