Scandia Family Dental Pa in Scandia - Dentist
Scandia Family Dental Pa - NPI 1194886630
Scandia Family Dental Pa is a Dentist in Scandia, Minnesota. Scandia Family Dental Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Scandia Family Dental Pa is 1194886630. The last update date is 2020-08-22.
Scandia Family Dental Pa's current location address is 21080 Olinda Trail N, Scandia, Minnesota. You can contact this provider via phone number 6514332655 and fax number 6514332655. The mailing address for Scandia Family Dental Pa is 21080 Olinda Trail N, Scandia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scandia Family Dental Pa |
|---|---|
| Address | 21080 Olinda Trail N, Scandia, Minnesota |
| Phone Number | 6514332655 |
| Fax Number | 6514332655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Revoir Marie Michele |
| Credentials | DDS |
| Telephone Number | 6514332655 |
NPI Number Detail
| NPI Number | 1194886630 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 21080 Olinda Trail N |
|---|---|
| City | Scandia |
| State | Minnesota (MN) |
| Post Code | 55073 |
| Phone Number | 6514332655 |
| Fax Number | 6514332655 |
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 10-digit identification code issued to Scandia Family Dental Pa by the Centers for Medicare & Medicaid Services?
The Scandia Family Dental Pa has been assigned the NPI (National Provider Identifier) 1194886630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Scandia Family Dental Pa's facilities are situated?
The facilities of Scandia Family Dental Pa are physically located at the following address: 21080 Olinda Trail N, Scandia, MN, 55073.
What is Scandia Family Dental Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Scandia Family Dental Pa's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Scandia Family Dental Pa receive its 1194886630 assignment from the Centers for Medicare & Medicaid Services?
The Scandia Family Dental Pa was assigned its 1194886630 on 2006-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Scandia Family Dental Pa's information last updated?
The Scandia Family Dental Pa's information was last updated on 2020-08-22.