Organization
NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R BABST DDS (PRESIDENT)
(218) 722-8377
Entity
Organization
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6222
(218) 362-6223
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6222
(218) 362-6223
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60360BA
MINNESOTA BCBS CLINIC
MN
Enumeration date
01/12/2007
Last updated
03/05/2008
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