# THE ORAL SURGERY CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104864529
- **Authorized official:** PATTY BARNARD (BUSINESS MANAGER)
- **Authorized official phone:** (651) 233-2140

## Contact information

- **Practice address:** 748 BIELENBERG DRIVE, SUITE 160, WOODBURY, MN 55125
- **Practice address phone:** (651) 233-2140
- **Practice address fax:** (651) 738-9048
- **Mailing address:** 748 BIELENBERG DRIVE, SUITE 160, WOODBURY, MN 55125
- **Mailing address phone:** (651) 233-2140
- **Mailing address fax:** (651) 738-9048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3029015 | WI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5897015 | WI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5898015 | WI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D11177 | MN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D11556 | MN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D9744 | MN | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 09/23/2022