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INSTITUTE OF FACIAL SURGERY ST PAUL
NPI 1689723686
Dentist - Oral and Maxillofacial Surgery in Maplewood, MN

Active since January 09, 2007
1774 COPE AVE E, SUITE 140, MAPLEWOOD, MN 55109(651) 774-9611(651) 748-3704 Get Directions Write a Review

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

About Institute Of Facial Surgery St Paul NPPES

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

INSTITUTE OF FACIAL SURGERY ST PAUL (NPI 1689723686) is a healthcare organization registered as an oral and maxillofacial surgery in Maplewood, Minnesota and active in the NPI registry since January 2007. The organization lists Jerry Kent Brunsoman, President, as its authorized official.

NPPES Registry Identity

NPI1689723686
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameINSTITUTE OF FACIAL SURGERY ST PAUL
Location Address1774 COPE AVE E, SUITE 140Maplewood, MN 55109-2662
Mailing Address1774 Cope Ave E, Suite 140Maplewood, MN 55109-2662 · (651) 774-9611 · Fax (651) 748-3704
Phone(651) 774-9611
Fax(651) 748-3704
Organization SubpartNo
Authorized OfficialJerry Kent BrunsomanPresident · (651) 774-9611
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689723686 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.
1774 COPE AVE E, Maplewood, MN 55109
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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 3

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

JOHN KEITH SCHULTE DDS,MSD
Dentist (Prosthodontics)
1774 COPE AVE E, SUITE 140
MAPLEWOOD, MN 55109
Ramsey County (651) 770-1612
WILLIAM DAVID BUNCE DDS
Dentist (General Practice)
1774 COPE AVE E, SUITE 110
MAPLEWOOD, MN 55109
Ramsey County (651) 777-3620
INSTITUTE OF FACIAL SURGERY ST PAUL, PLLC
Clinic/Center (Dental)
1774 COPE AVE E, SUITE 140
MAPLEWOOD, MN 55109
Ramsey County (651) 774-9611

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 Institute Of Facial Surgery St Paul's NPI number?

The NPI number for Institute Of Facial Surgery St Paul is 1689723686. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Institute Of Facial Surgery St Paul located?

Institute Of Facial Surgery St Paul is located at 1774 Cope Ave E Suite 140, Maplewood, MN 55109. The listed phone number is (651) 774-9611.

What is Institute Of Facial Surgery St Paul'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 Institute Of Facial Surgery St Paul 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.