Prairie Dental Centers Pa in Ada - General Practice
Prairie Dental Centers Pa - NPI 1447310636
Prairie Dental Centers Pa is a General Practice in Ada, Minnesota. Prairie Dental Centers Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Prairie Dental Centers Pa is 1447310636. The last update date is 2020-08-22.
Prairie Dental Centers Pa's current location address is 200 E Main St, Ada, Minnesota. You can contact this provider via phone number 2187847119. The mailing address for Prairie Dental Centers Pa is 200 E Main St, Ada, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Dental Centers Pa |
|---|---|
| Address | 200 E Main St, Ada, Minnesota |
| Phone Number | 2187847119 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Resnick David |
| Credentials | DDS |
| Telephone Number | 2187847119 |
NPI Number Detail
| NPI Number | 1447310636 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 200 E Main St |
|---|---|
| City | Ada |
| State | Minnesota (MN) |
| Post Code | 56510 |
| Phone Number | 2187847119 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10680 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Prairie Dental Centers Pa?
The Prairie Dental Centers Pa has been issued the NPI (National Provider Identifier) 1447310636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Prairie Dental Centers Pa?
The Prairie Dental Centers Pa is situated at 200 E Main St, in the city of Ada, state of MN, with the zip code 56510.
What is the Prairie Dental Centers Pa's specialty and taxonomy code?
The Prairie Dental Centers Pa's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1447310636 assigned to Prairie Dental Centers Pa?
The Prairie Dental Centers Pa was issued its 1447310636 on 2006-12-11, 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 Prairie Dental Centers Pa most recently updated or revised?
The information pertaining to Prairie Dental Centers Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1528061710
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