Immanuel Dental in Farmington - Dentist

Immanuel Dental - NPI 1417070509

Immanuel Dental is a Dentist in Farmington, Minnesota. Immanuel Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Immanuel Dental is 1417070509. The last update date is 2022-03-25.

Immanuel Dental's current location address is 321 Third Street, Farmington, Minnesota. You can contact this provider via phone number 6514632880 and fax number 6514632840. The mailing address for Immanuel Dental is 321 Third Street, Farmington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Immanuel Dental
Address 321 Third Street, Farmington, Minnesota
Phone Number 6514632880
Fax Number 6514632840
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C.E.O.
Authorized Official Name Dungy K. Linden
Credentials DDS
Telephone Number 6514632880

NPI Number Detail

NPI Number 1417070509
Provider Enumeration Date 2007-04-06
Last Updated Date 2022-03-25

Provider Mailing Address Detail

Address 321 Third Street
City Farmington
State Minnesota (MN)
Post Code 55024
Phone Number 6514632880
Fax Number 6514632840

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D10129
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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FAQs about Immanuel Dental

What is the Immanuel Dental's unique identification number?

The Immanuel Dental has been assigned the NPI (National Provider Identifier) Number 1417070509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Immanuel Dental is located?

The Immanuel Dental is situated at the following address: 321 Third Street, Farmington, MN, 55024.

What is Immanuel Dental's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Immanuel Dental is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417070509 to Immanuel Dental?

The Centers for Medicare & Medicaid Services assigned the 1417070509 to Immanuel Dental on 2007-04-06.

As of what date was the information regarding Immanuel Dental, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Immanuel Dental, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-25.

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