Paul Roy Bengtson in Blackduck - General Practice

Paul Roy Bengtson - NPI 1225203359

Paul Roy Bengtson is a General Practice in Blackduck, Minnesota. Paul Roy Bengtson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul Roy Bengtson is 1225203359. The last update date is 2008-04-29.

Paul Roy Bengtson's current location address is Po Box 308, Blackduck, Minnesota. You can contact this provider via phone number 2188354227 and fax number 2188357512. The mailing address for Paul Roy Bengtson is Po Box 308, Blackduck, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Roy Bengtson
Address Po Box 308, Blackduck, Minnesota
Phone Number 2188354227
Fax Number 2188357512
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1225203359
Provider Enumeration Date 2008-04-29
Last Updated Date 2008-04-29

Provider Mailing Address Detail

Address Po Box 308
City Blackduck
State Minnesota (MN)
Post Code 566300308
Phone Number 2188354227
Fax Number 2188357512

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7789
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
141818100 MN --

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FAQs about Paul Roy Bengtson

What is the unique 10-digit identifier code assigned to Paul Roy Bengtson by the Centers for Medicare & Medicaid Services?

The Paul Roy Bengtson has been issued the NPI (National Provider Identifier) 1225203359 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Paul Roy Bengtson is geographically located?

The Paul Roy Bengtson is physically situated at the following location: Po Box 308, Blackduck, MN, 566300308.

What is Paul Roy Bengtson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Paul Roy Bengtson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When did the Paul Roy Bengtson receive its 1225203359?

The Paul Roy Bengtson was issued its 1225203359 on 2008-04-29, which is the date when the organization was assigned this unique identifier.

When was the Paul Roy Bengtson's information last updated?

The Paul Roy Bengtson's information was last updated on 2008-04-29.

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