Lake Minnetonka Dental in Wayzata - Dentist
Lake Minnetonka Dental - NPI 1922185016
Lake Minnetonka Dental is a Dentist in Wayzata, Minnesota. Lake Minnetonka Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lake Minnetonka Dental is 1922185016. The last update date is 2011-05-11.
Lake Minnetonka Dental's current location address is 109 Bushaway Rd, Wayzata, Minnesota. You can contact this provider via phone number 9524750225 and fax number 9524750776. The mailing address for Lake Minnetonka Dental is 109 Bushaway Rd, Wayzata, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lake Minnetonka Dental |
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Address | 109 Bushaway Rd, Wayzata, Minnesota |
Phone Number | 9524750225 |
Fax Number | 9524750776 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Laskin Neil Bryan |
Credentials | DDS |
Telephone Number | 9524750225 |
NPI Number Detail
NPI Number | 1922185016 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
Address | 109 Bushaway Rd |
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City | Wayzata |
State | Minnesota (MN) |
Post Code | 553911945 |
Phone Number | 9524750225 |
Fax Number | 9524750776 |
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 Lake Minnetonka Dental by the Centers for Medicare & Medicaid Services?
The Lake Minnetonka Dental has been assigned the NPI (National Provider Identifier) 1922185016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake Minnetonka Dental is physically located?
The Lake Minnetonka Dental is physically situated at the following address: 109 Bushaway Rd, Wayzata, MN, 553911945.
What is Lake Minnetonka Dental's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake Minnetonka Dental's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Lake Minnetonka Dental receive its 1922185016 assignment from the Centers for Medicare & Medicaid Services?
The Lake Minnetonka Dental was assigned its 1922185016 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lake Minnetonka Dental most recently updated or revised?
The details related to Lake Minnetonka Dental, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-11.
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