# MAXILLOFACIAL AND ORAL SURGERY PA

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

## Provider details

- **NPI number:** 1821010497
- **Authorized official:** JAMES Q SWIFT DDS (PRESIDENT)
- **Authorized official phone:** (651) 842-3344

## Contact information

- **Practice address:** 7-174 MOOS TOWER, 515 DELAWARE STREET SE, MINNEAPOLIS, MN 55155-0329
- **Practice address phone:** (651) 842-3344
- **Mailing address:** 2854 HIGHWAY 55, SUITE 130, EAGAN, MN 55121-1405
- **Mailing address phone:** (651) 842-3344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 01/29/2008