# MIDWEST ORAL & MAXILLOFACIAL SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003983701
- **Authorized official:** GREGORY WARREN HUELER DDS (PRESIDENT)
- **Authorized official phone:** (952) 226-7940

## Contact information

- **Practice address:** 13875 HWY 13 FRONTAGE RD, STE 50, SAVAGE, MN 55378
- **Practice address phone:** (952) 226-7940
- **Practice address fax:** (952) 226-7949
- **Mailing address:** 13875 HWY 13 FRONTAGE RD, STE 50, SAVAGE, MN 55378
- **Mailing address phone:** (952) 226-7940
- **Mailing address fax:** (952) 226-7949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020