Myron Henrickson, Dds Pa in Maplewood - Dentist
Myron Henrickson, Dds Pa - NPI 1740444827
Myron Henrickson, Dds Pa is a Dentist in Maplewood, Minnesota. Myron Henrickson, Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Myron Henrickson, Dds Pa is 1740444827. The last update date is 2008-07-17.
Myron Henrickson, Dds Pa's current location address is 1560 Beam Ave, Maplewood, Minnesota. You can contact this provider via phone number 6517778900. The mailing address for Myron Henrickson, Dds Pa is 1560 Beam Ave, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Myron Henrickson, Dds Pa |
|---|---|
| Address | 1560 Beam Ave, Maplewood, Minnesota |
| Phone Number | 6517778900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Henrickson A Myron |
| Telephone Number | 6517778900 |
NPI Number Detail
| NPI Number | 1740444827 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 1560 Beam Ave |
|---|---|
| City | Maplewood |
| State | Minnesota (MN) |
| Post Code | 551091191 |
| Phone Number | 6517778900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D9492 |
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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 10-digit identification code assigned to Myron Henrickson, Dds Pa by the Centers for Medicare & Medicaid Services?
The Myron Henrickson, Dds Pa has been issued the NPI (National Provider Identifier) 1740444827, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Myron Henrickson, Dds Pa's facilities are situated?
The facilities of Myron Henrickson, Dds Pa are physically located at the following address: 1560 Beam Ave, Maplewood, MN, 551091191.
What is Myron Henrickson, Dds Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Myron Henrickson, Dds Pa's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date was the 1740444827 assigned to Myron Henrickson, Dds Pa?
The Myron Henrickson, Dds Pa was issued its 1740444827 on 2008-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Myron Henrickson, Dds Pa most recently updated or revised?
The information pertaining to Myron Henrickson, Dds Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.