# ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA

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

## Provider details

- **NPI number:** 1619049921
- **Authorized official:** DEBI KECKHAFER RN (PRACTICE MANAGER)
- **Authorized official phone:** (952) 841-9658

## Contact information

- **Practice address:** 7373 FRANCE AVE S, SUITE 602, EDINA, MN 55435-4534
- **Practice address phone:** (952) 835-5003
- **Mailing address:** 7373 FRANCE AVE S, SUITE 602, EDINA, MN 55435-4534
- **Mailing address phone:** (952) 835-5003

## 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:** 11/14/2006
- **Last updated:** 06/25/2015