Supernumerary teeth are uncommon but have been well documented clinically. They are extra teeth or tooth-like structure, either erupted or unerupted in addition to the 32 permanent teeth. Mesiodens is one of these located in the midline between the two central incisors. Nasal teeth result from ectopic eruption of supernumerary teeth, can be identified by performing Cone Beam Computed Tomography (CBCT). Supernumerary teeth may lead to delayed eruption or non-eruption, displacement of permanent teeth, resorption or malformation of adjacent roots, and cystic formation (rarely). Multiple supernumerary impacted teeth are usually associated with syndromes, metabolic or hormonal disorders. This paper describes surgical management of a rare case of 2 palatally placed, one horizontal and impacted supernumerary, one in the anterior maxilla and other in the floor of the nasal cavity, which were detected during a radiographic examination for labial placement of permanent right central incisor due to a rotated mesiodens in the case of a healthy 14-year-old boy reported at the Dental centre.