Main Street Dental Mc in Blooming Prairie - General Practice
Main Street Dental Mc - NPI 1649244914
Main Street Dental Mc is a General Practice in Blooming Prairie, Minnesota. Main Street Dental Mc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Main Street Dental Mc is 1649244914. The last update date is 2020-08-22.
Main Street Dental Mc's current location address is 405 E Main Street, Blooming Prairie, Minnesota. You can contact this provider via phone number 5075832141 and fax number 5075837574. The mailing address for Main Street Dental Mc is 405 E Main Street, Blooming Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Dental Mc |
|---|---|
| Address | 405 E Main Street, Blooming Prairie, Minnesota |
| Phone Number | 5075832141 |
| Fax Number | 5075837574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Flor M John |
| Credentials | DDS |
| Telephone Number | 5075832141 |
NPI Number Detail
| NPI Number | 1649244914 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 405 E Main Street |
|---|---|
| City | Blooming Prairie |
| State | Minnesota (MN) |
| Post Code | 55917 |
| Phone Number | 5075832141 |
| Fax Number | 5075837574 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2865172 |
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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 identification code assigned to Main Street Dental Mc by the Centers for Medicare & Medicaid Services?
The Main Street Dental Mc has been issued the NPI (National Provider Identifier) 1649244914. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Main Street Dental Mc?
The Main Street Dental Mc is physically situated at 405 E Main Street, in the city of Blooming Prairie, state of MN, with the postal code 55917.
What is Main Street Dental Mc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Main Street Dental Mc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Main Street Dental Mc receive its 1649244914 assignment from the Centers for Medicare & Medicaid Services?
The Main Street Dental Mc was assigned its 1649244914 on 2006-02-14, 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 regarding Main Street Dental Mc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Main Street Dental Mc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.