Organization
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HARTMANN (CLINIC MANAGER)
(651) 905-4834
Entity
Organization
Contact information
Practice address
2130 CLIFF RD, SUITE 100, SAINT PAUL, MN 55122-2485
(651) 452-6933
Mailing address
2130 CLIFF RD, SUITE 100, SAINT PAUL, MN 55122-2485
(651) 452-6933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6B354SE
BCBS MN CLINIC NUMBER
MN
Enumeration date
03/22/2007
Last updated
07/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us