Organization
AFFILIATED ORAL AND MAXILLOFACIAL SURGEONS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A CARTER D.D.S. (OWNER/PARTNER)
(952) 474-6336
Entity
Organization
Contact information
Practice address
348 2ND ST, SUITE 150, EXCELSIOR, MN 55331-1830
(952) 474-6336
(952) 474-2468
Mailing address
348 2ND ST, SUITE 150, EXCELSIOR, MN 55331-1830
(952) 474-6336
(952) 474-2468
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315223500
—
MN
05
—
352518000
—
MN
Enumeration date
05/04/2009
Last updated
05/04/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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