St Croix Valley Dental Pllc in Lake Elmo - Dentist
St Croix Valley Dental Pllc - NPI 1295859676
St Croix Valley Dental Pllc is a Dentist in Lake Elmo, Minnesota. St Croix Valley Dental Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for St Croix Valley Dental Pllc is 1295859676. The last update date is 2020-08-22.
St Croix Valley Dental Pllc's current location address is 11240 Stillwater Blvd N, Lake Elmo, Minnesota. You can contact this provider via phone number 6517770210 and fax number 6517770320. The mailing address for St Croix Valley Dental Pllc is 11240 Stillwater Blvd N, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | St Croix Valley Dental Pllc |
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Address | 11240 Stillwater Blvd N, Lake Elmo, Minnesota |
Phone Number | 6517770210 |
Fax Number | 6517770320 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER DENT |
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Authorized Official Name | Wolff Steven Douglas |
Credentials | DDS |
Telephone Number | 6514392600 |
NPI Number Detail
NPI Number | 1295859676 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 11240 Stillwater Blvd N |
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City | Lake Elmo |
State | Minnesota (MN) |
Post Code | 55042 |
Phone Number | 6517770210 |
Fax Number | 6517770320 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
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 identifier code issued to St Croix Valley Dental Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The St Croix Valley Dental Pllc has been assigned the NPI (National Provider Identifier) 1295859676. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of St Croix Valley Dental Pllc?
The St Croix Valley Dental Pllc is physically situated at 11240 Stillwater Blvd N, in the city of Lake Elmo, state of MN, with the postal code 55042.
What is St Croix Valley Dental Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The St Croix Valley Dental Pllc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the St Croix Valley Dental Pllc's 1295859676 issued?
The St Croix Valley Dental Pllc's 1295859676 was issued on 2007-03-19.
As of what date were the details related to St Croix Valley Dental Pllc most recently updated or revised?
The information pertaining to St Croix Valley Dental Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.