# NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA

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

## Provider details

- **NPI number:** 1588715163
- **Authorized official:** CHARLES R BABST DDS (PRESIDENT)
- **Authorized official phone:** (218) 722-8377

## Contact information

- **Practice address:** 750 E 34TH ST, HIBBING, MN 55746-2341
- **Practice address phone:** (218) 362-6222
- **Practice address fax:** (218) 362-6223
- **Mailing address:** 750 E 34TH ST, HIBBING, MN 55746-2341
- **Mailing address phone:** (218) 362-6222
- **Mailing address fax:** (218) 362-6223

## 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:** 01/12/2007
- **Last updated:** 03/05/2008