Osberg Pesola Scamp Kaivo Dds Pa in Eden Prairie - Dentist
Osberg Pesola Scamp Kaivo Dds Pa - NPI 1508873118
Osberg Pesola Scamp Kaivo Dds Pa is a Dentist in Eden Prairie, Minnesota. Osberg Pesola Scamp Kaivo Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Osberg Pesola Scamp Kaivo Dds Pa is 1508873118. The last update date is 2020-08-22.
Osberg Pesola Scamp Kaivo Dds Pa's current location address is 16518 West 78th Street, Eden Prairie, Minnesota. You can contact this provider via phone number 9529372137 and fax number 9529375820. The mailing address for Osberg Pesola Scamp Kaivo Dds Pa is 16518 West 78th Street, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Osberg Pesola Scamp Kaivo Dds Pa |
|---|---|
| Address | 16518 West 78th Street, Eden Prairie, Minnesota |
| Phone Number | 9529372137 |
| Fax Number | 9529375820 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Gertner Ann Kimberly |
| Telephone Number | 6128244211 |
NPI Number Detail
| NPI Number | 1508873118 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16518 West 78th Street |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 55346 |
| Phone Number | 9529372137 |
| Fax Number | 9529375820 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Osberg Pesola Scamp Kaivo Dds Pa by the Centers for Medicare & Medicaid Services?
The Osberg Pesola Scamp Kaivo Dds Pa has been issued the NPI (National Provider Identifier) 1508873118. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Osberg Pesola Scamp Kaivo Dds Pa is physically located?
The Osberg Pesola Scamp Kaivo Dds Pa is situated at the following address: 16518 West 78Th Street, Eden Prairie, MN 55346.
What is the Osberg Pesola Scamp Kaivo Dds Pa's specialty and taxonomy code?
The Osberg Pesola Scamp Kaivo Dds Pa's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508873118 to Osberg Pesola Scamp Kaivo Dds Pa?
The Centers for Medicare & Medicaid Services assigned the 1508873118 to Osberg Pesola Scamp Kaivo Dds Pa on 2006-08-03.
When was the information pertaining to Osberg Pesola Scamp Kaivo Dds Pa most recently updated or revised?
The details related to Osberg Pesola Scamp Kaivo Dds Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1144225426
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