# TRUE NORTH ORAL SURGERY AND IMPLANTS PLLC

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

## Provider details

- **NPI number:** 1285179945
- **Authorized official:** DR. MARSHALL LLOYD WADE D.D.S. (ORAL SURGEON/PRESIDENT)
- **Authorized official phone:** (651) 578-7000

## Contact information

- **Practice address:** 9950 VALLEY CREEK RD, SUITE 100, WOODBURY, MN 55125-4883
- **Practice address phone:** (651) 578-7000
- **Practice address fax:** (651) 578-0157
- **Mailing address:** 9950 VALLEY CREEK RD, SUITE 100, WOODBURY, MN 55125-4883
- **Mailing address phone:** (651) 578-7000
- **Mailing address fax:** (651) 578-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D9734 | MN | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 04/12/2017
