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VALLEY ORAL & FACIAL SURGERY PC
NPI 1801959788
Clinic/Center - Oral and Maxillofacial Surgery in Grand Forks, ND

Active since December 19, 2006
1165 S COLUMBIA RD STE C, GRAND FORKS, ND 58201(701) 772-7379(701) 772-9643 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Valley Oral & Facial Surgery Pc NPPES

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

VALLEY ORAL & FACIAL SURGERY PC (NPI 1801959788) is a healthcare organization registered as an oral and maxillofacial surgery in Grand Forks, North Dakota and active in the NPI registry since December 2006. The organization lists Troy R. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1801959788
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameVALLEY ORAL & FACIAL SURGERY PC
Location Address1165 S COLUMBIA RD STE CGrand Forks, ND 58201-4007
Mailing Address1165 S Columbia Rd Ste CGrand Forks, ND 58201-4007 · (701) 772-7379 · Fax (701) 772-9643
Phone(701) 772-7379
Fax(701) 772-9643
Organization SubpartNo
Authorized OfficialTroy R. PetersenPresident · (701) 772-7379
Enumeration DateDecember 19, 2006
Last NPPES UpdateMay 14, 2014
✔ NPI 1801959788 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
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.
1165 S COLUMBIA RD STE C, Grand Forks, ND 58201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valley Oral & Facial Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Valley Oral & Facial Surgery PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Marcus Tanabe, DDS
Oral Surgery
NPI 1336368240
1165 S COLUMBIA RD STE C
Grand Forks, ND 58201
(701) 772-7379
✔ PECOS✔ Accepts MedicareSame address
Greg Frokjer, DDS
Oral Surgery
NPI 1154405231
1165C SOUTH COLUMBIA ROAD
Grand Forks, ND 58201
(701) 772-7379
✔ PECOS✔ Accepts MedicareSame address
Troy Petersen, DMD MD
Oral Surgery
NPI 1073697157
1165C SOUTH COLUMBIA ROAD
Grand Forks, ND 58201
(701) 772-7379
✔ PECOS✔ Accepts MedicareSame address
Rudy Schneider, MD DDS
Maxillofacial Surgery
NPI 1790889152
3187 BLUE STEM DR STE 4
West Fargo, ND 58078
(701) 235-7379
✔ PECOS✔ Accepts Medicare75 mi

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 Valley Oral & Facial Surgery PC's NPI number?

The NPI number for Valley Oral & Facial Surgery PC is 1801959788. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Valley Oral & Facial Surgery PC located?

Valley Oral & Facial Surgery PC is located at 1165 S Columbia Rd Ste C, Grand Forks, ND 58201. The listed phone number is (701) 772-7379.

What is Valley Oral & Facial Surgery PC's specialty?

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

Is Valley Oral & Facial Surgery PC enrolled in Medicare?

Yes. Valley Oral & Facial Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valley Oral & Facial Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Valley Oral & Facial Surgery PC. 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. The largest specialties are Oral Surgery (3) and Maxillofacial Surgery (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Valley Oral & Facial Surgery PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Valley Oral & Facial Surgery PC 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 Valley Oral & Facial Surgery PC was last updated on May 14, 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.