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OMS SPECIALISTS
NPI 1982634010
Dentist - Oral and Maxillofacial Surgery in New Brighton, MN

Active since July 04, 2006
550 COUNTY ROAD D, SUITE 12, NEW BRIGHTON, MN 55421(612) 788-9246(612) 788-5511 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oms Specialists NPPES

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

OMS SPECIALISTS (NPI 1982634010) is a healthcare organization registered as an oral and maxillofacial surgery in New Brighton, Minnesota and active in the NPI registry since July 2006. The organization lists Kirby Charles Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1982634010
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGERY SPECIALISTS, PA
Location Address550 COUNTY ROAD D, SUITE 12New Brighton, MN 55421
Mailing Address550 County Road D, Suite 12New Brighton, MN 55112 · (651) 259-9902 · Fax (651) 259-9930
Phone(612) 788-9246
Fax(612) 788-5511
Organization SubpartNo
Authorized OfficialKirby Charles JohnsonPresident · (612) 788-9246
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 29, 2014
✔ NPI 1982634010 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 · 10472
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.
550 COUNTY ROAD D, New Brighton, MN 55421
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Other Names 1

Doing Business AsOms Specialists

Other Identifiers 4

Medicare UPINU72187MN
Medicare UPINT93145MN
Medicare UPINU72794MN
Medicare UPINC07428MN

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 Oral & Maxillofacial Surgery Specialists, PA's NPI number?

The NPI number for Oral & Maxillofacial Surgery Specialists, PA is 1982634010. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Oms Specialists.

Where is Oral & Maxillofacial Surgery Specialists, PA located?

Oral & Maxillofacial Surgery Specialists, PA is located at 550 County Road D Suite 12, New Brighton, MN 55421. The listed phone number is (612) 788-9246.

What is Oral & Maxillofacial Surgery Specialists, PA'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 Oral & Maxillofacial Surgery Specialists, PA was last updated on July 29, 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.