Mark R. Omlie, D.D.S.-M.D.
Oral & Maxillofacial Surgery · Edina, MN
UnclaimedD.D.S.-M.D.NPI 1942272489
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2006-02-07
- Practice location
- Edina, MN
- Last NPPES update
- 2014-02-06
State licenses
- MN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.