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REJUV SKIN & LASER CLINIC
NPI 1669671152
Dentist - Oral and Maxillofacial Surgery in Eagan, MN

Active since July 13, 2007
1625 LENA CT STE 300, EAGAN, MN 55122(651) 287-3080(651) 905-3789 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rejuv Skin & Laser Clinic NPPES

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

REJUV SKIN & LASER CLINIC (NPI 1669671152) is a healthcare organization registered as an oral and maxillofacial surgery in Eagan, Minnesota and active in the NPI registry since July 2007. The organization lists Steven Allen Selchow, Owner, as its authorized official.

NPPES Registry Identity

NPI1669671152
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameREJUV SKIN & LASER CLINIC
Location Address1625 LENA CT STE 300Eagan, MN 55122-2938
Mailing Address1625 Lena Ct Ste 300Eagan, MN 55122-2938 · (651) 287-3080 · Fax (651) 905-3789
Phone(651) 287-3080
Fax(651) 905-3789
Organization SubpartNo
Authorized OfficialSteven Allen SelchowOwner · (651) 287-3080
Enumeration DateJuly 13, 2007
✔ NPI 1669671152 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 · D9967
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.
1625 LENA CT STE 300, Eagan, MN 55122
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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

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 Rejuv Skin & Laser Clinic's NPI number?

The NPI number for Rejuv Skin & Laser Clinic is 1669671152. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is Rejuv Skin & Laser Clinic located?

Rejuv Skin & Laser Clinic is located at 1625 Lena Ct Ste 300, Eagan, MN 55122. The listed phone number is (651) 287-3080.

What is Rejuv Skin & Laser Clinic'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 Rejuv Skin & Laser Clinic was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.