Dental South Pa is a Dentist in South St Paul, Minnesota. Dental South Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dental South Pa is 1558431890. The last update date is 2019-12-02.
Dental South Pa's current location address is 800 Marie Avenue, South St Paul, Minnesota. You can contact this provider via phone number 6514511277 and fax number 6514558488. The mailing address for Dental South Pa is 800 Marie Avenue, South St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental South Pa |
|---|---|
| Address | 800 Marie Avenue, South St Paul, Minnesota |
| Phone Number | 6514511277 |
| Fax Number | 6514558488 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DENT |
|---|---|
| Authorized Official Name | Prueher J. Michael |
| Credentials | D.D.S. |
| Telephone Number | 6514511277 |
NPI Number Detail
| NPI Number | 1558431890 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2019-12-02 |
Provider Mailing Address Detail
| Address | 800 Marie Avenue |
|---|---|
| City | South St Paul |
| State | Minnesota (MN) |
| Post Code | 55075 |
| Phone Number | 6514511277 |
| Fax Number | 6514558488 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9619 |
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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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Post Comment/ Review Below
What is the Dental South Pa's 1558431890?
The Dental South Pa's NPI (National Provider Identifier) Number is 1558431890. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dental South Pa's physical address?
The Dental South Pa is physically located at 800 Marie Avenue, in the city of South St Paul, MN, with the postal code 55075.
What is Dental South Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dental South Pa is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Dental South Pa receive its 1558431890 assignment from the Centers for Medicare & Medicaid Services?
The Dental South Pa was assigned its 1558431890 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dental South Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dental South Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-12-02.