Elk Plaza Dental in Elk River - General Practice
Elk Plaza Dental - NPI 1760592406
Elk Plaza Dental is a General Practice in Elk River, Minnesota. Elk Plaza Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Elk Plaza Dental is 1760592406. The last update date is 2020-08-22.
Elk Plaza Dental's current location address is 501 Main St Nw, Elk River, Minnesota. You can contact this provider via phone number 7634414200. The mailing address for Elk Plaza Dental is 501 Main St Nw, Elk River, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elk Plaza Dental |
|---|---|
| Address | 501 Main St Nw, Elk River, Minnesota |
| Phone Number | 7634414200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hickey John Thomas |
| Credentials | D.D.S. |
| Telephone Number | 7634414200 |
NPI Number Detail
| NPI Number | 1760592406 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 501 Main St Nw |
|---|---|
| City | Elk River |
| State | Minnesota (MN) |
| Post Code | 553301880 |
| Phone Number | 7634414200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8940 |
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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 10-digit identifier code issued to Elk Plaza Dental by the Centers for Medicare & Medicaid Services?
The Elk Plaza Dental has been assigned the NPI (National Provider Identifier) 1760592406 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Elk Plaza Dental is geographically located?
The Elk Plaza Dental is physically situated at the following location: 501 Main St Nw, Elk River, MN, 553301880.
What is Elk Plaza Dental's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elk Plaza Dental is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did the Elk Plaza Dental receive its 1760592406?
The Elk Plaza Dental was issued its 1760592406 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Elk Plaza Dental most recently updated or revised?
The information pertaining to Elk Plaza Dental, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.