NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC
NPI 1699901140
Clinic/Center - Oral and Maxillofacial Surgery in St Louis Park, MN

Q: What is Northern Star Oral And Maxillofacial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since June 10, 2009

5100 GAMBLE DR, SUITE 125, ST LOUIS PARK, MN 55416(952) 465-0105(952) 465-0106 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northern Star Oral And Maxillofacial Surgery Pllc NPPES

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

NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC (NPI 1699901140) is a healthcare organization registered as an oral and maxillofacial surgery in St Louis Park, Minnesota and active in the NPI registry since June 2009. The organization lists Julie A Chavez, Owner, as its authorized official.

NPPES Registry Identity

NPI1699901140

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameNORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC

Location Address5100 GAMBLE DR, SUITE 125St Louis Park, MN 55416-1585

Mailing Address5100 Gamble Dr, Suite 125St Louis Park, MN 55416-1585 · (952) 465-0105 · Fax (952) 465-0106

Phone(952) 465-0105

Fax(952) 465-0106

Organization SubpartNo

Authorized OfficialJulie A ChavezOwner · (952) 465-0105

Enumeration DateJune 10, 2009

Last NPPES UpdateJune 23, 2014

✔ NPI 1699901140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

License✔ Licensed in MN · D11399

Definition

An oral and maxillofacial surgery clinic or center 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.

5100 GAMBLE DR, St Louis Park, MN 55416

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Other Identifiers 4

OtherDQ4459MN · Medicare Railroad Ptan

Other187847MN · U Care

Other3AI37NOMN · Blue Cross Blue Shield

OtherCO5268MN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 14

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

DEBRA JEAN WAITE LICSW

Social Worker (Clinical)

5100 GAMBLE DR, SUITE 100 MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416

Hennepin County (952) 593-8777

GROUP HEALTH PLAN INC

Dentist (General Practice)

5100 GAMBLE DR, STE 100
ST LOUIS PARK, MN 55416

Hennepin County (952) 593-0779

JENNIFER RAE EGGERS PA

Physician Assistant

5100 GAMBLE DR, SUITE 100
ST LOUIS PARK, MN 55416

Hennepin County (952) 541-2500

DR. TERESE A LALOMIA DDS

Dentist (General Practice)

5100 GAMBLE DR, STE 100
ST LOUIS PARK, MN 55416

Hennepin County (952) 593-0779

ARTHUR B DECKER MA LP

Psychologist (Clinical)

5100 GAMBLE DR, STE 100 MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416

Hennepin County (952) 593-8777

ROBERT F GOBLIRSCH MD

Family Medicine

5100 GAMBLE DR, SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416

Hennepin County (952) 541-2500

JAMES S KELLER OD

Optometrist

5100 GAMBLE DR, MAIL STOP 31200A STE 100
SAINT LOUIS PARK, MN 55416

Hennepin County (952) 593-8777

DR. DINA REBECCA BLUMENFIELD D.O.

Family Medicine

5100 GAMBLE DR, SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416

Hennepin County (952) 541-2500

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 Northern Star Oral And Maxillofacial Surgery PLLC's NPI number?

The NPI number for Northern Star Oral And Maxillofacial Surgery PLLC is 1699901140. It was assigned to this organization in the NPPES registry on June 10, 2009.

Where is Northern Star Oral And Maxillofacial Surgery PLLC located?

Northern Star Oral And Maxillofacial Surgery PLLC is located at 5100 Gamble Dr Suite 125, St Louis Park, MN 55416. The listed phone number is (952) 465-0105.

What is Northern Star Oral And Maxillofacial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Northern Star Oral And Maxillofacial Surgery PLLC accept?

Health plans from UnitedHealthcare list Northern Star Oral And Maxillofacial Surgery PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Star Oral And Maxillofacial Surgery PLLC was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.