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.
Organization
ADVANCED ORAL SURGERY
Active
Organization
ADVANCED ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MCCABE DMD, MD (ORAL & MAXILLOFACIAL SURGEON)
(507) 327-9574
Entity
Organization
Contact information
Practice address
19925 IDEALIC AVE, LAKEVILLE, MN 55044-2003
(507) 327-9574
Mailing address
19318 IMPALA AVE, LAKEVILLE, MN 55044-1600
(507) 327-9574
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers