Creekview Dental Pa in Woodbury - Dentist
Creekview Dental Pa - NPI 1861463465
Creekview Dental Pa is a Dentist in Woodbury, Minnesota. Creekview Dental Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Creekview Dental Pa is 1861463465. The last update date is 2012-07-17.
Creekview Dental Pa's current location address is 2145 Woodlane Dr, Woodbury, Minnesota. You can contact this provider via phone number 6517388204. The mailing address for Creekview Dental Pa is 2145 Woodlane Dr, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creekview Dental Pa |
|---|---|
| Address | 2145 Woodlane Dr, Woodbury, Minnesota |
| Phone Number | 6517388204 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haag M John |
| Credentials | DDS |
| Telephone Number | 6517388204 |
NPI Number Detail
| NPI Number | 1861463465 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2012-07-17 |
Provider Mailing Address Detail
| Address | 2145 Woodlane Dr |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551251920 |
| Phone Number | 6517388204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | MN10688 |
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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 Creekview Dental Pa by the Centers for Medicare & Medicaid Services?
The Creekview Dental Pa has been assigned the NPI (National Provider Identifier) 1861463465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Creekview Dental Pa located?
The Creekview Dental Pa is located at 2145 Woodlane Dr, Woodbury, MN 551251920.
What is Creekview Dental Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Creekview Dental Pa is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Creekview Dental Pa receive the assignment of its 1861463465 from the Centers for Medicare & Medicaid Services?
The Creekview Dental Pa was issued its 1861463465 by the Centers for Medicare & Medicaid Services on 2006-01-31.
When was the information regarding Creekview Dental Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Creekview Dental Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-07-17.
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