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PRAIRIE ORAL SURGERY LTD
NPI 1912859364
Oral & Maxillofacial Surgery in Detroit Lakes, MN

Active since February 10, 2026
1225 WASHINGTON AVE, DETROIT LAKES, MN 56501(701) 478-4404(701) 478-4407 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prairie Oral Surgery Ltd NPPES

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

PRAIRIE ORAL SURGERY LTD (NPI 1912859364) is a healthcare organization registered as an oral & maxillofacial surgery in Detroit Lakes, Minnesota and active in the NPI registry since February 2026. The organization lists Alyssa Auck, Financial Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912859364
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NamePRAIRIE ORAL SURGERY LTD
Location Address1225 WASHINGTON AVEDetroit Lakes, MN 56501-3905
Mailing Address2585 23rd Ave S Unit AFargo, ND 58103-6172 · (701) 478-4404 · Fax (701) 478-4407
Phone(701) 478-4404
Fax(701) 478-4407
Organization SubpartNo
Authorized OfficialAlyssa AuckFinancial Coordinator · (701) 478-4404
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1912859364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

1225 WASHINGTON AVE, Detroit Lakes, MN 56501
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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.

DR. SARA BETH SKADSEM D.C.
Chiropractor
1225 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-9235
MR. RYAN KIMBERLY WEUM D.C.
Chiropractor
1225 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-9235
SKADSEM WEUM CHIROPRACTIC PLLC
Chiropractor
1225 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-9235

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 Prairie Oral Surgery Ltd's NPI number?

The NPI number for Prairie Oral Surgery Ltd is 1912859364. It was assigned to this organization in the NPPES registry on February 10, 2026.

Where is Prairie Oral Surgery Ltd located?

Prairie Oral Surgery Ltd is located at 1225 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (701) 478-4404.

What is Prairie Oral Surgery Ltd's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Prairie Oral Surgery Ltd was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.