Maple Grove Family Dental Clinic, Pa in Maple Grove - General Practice
Maple Grove Family Dental Clinic, Pa - NPI 1922181197
Maple Grove Family Dental Clinic, Pa is a General Practice in Maple Grove, Minnesota. Maple Grove Family Dental Clinic, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Maple Grove Family Dental Clinic, Pa is 1922181197. The last update date is 2020-08-22.
Maple Grove Family Dental Clinic, Pa's current location address is 12000 Elm Creek Blvd N, Maple Grove, Minnesota. You can contact this provider via phone number 7634204421 and fax number 7634205674. The mailing address for Maple Grove Family Dental Clinic, Pa is 12000 Elm Creek Blvd N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Maple Grove Family Dental Clinic, Pa |
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Address | 12000 Elm Creek Blvd N, Maple Grove, Minnesota |
Phone Number | 7634204421 |
Fax Number | 7634205674 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINIC ADM |
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Authorized Official Name | Larson M. Susan |
Telephone Number | 7634204421 |
NPI Number Detail
NPI Number | 1922181197 |
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Provider Enumeration Date | 2006-10-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 12000 Elm Creek Blvd N |
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City | Maple Grove |
State | Minnesota (MN) |
Post Code | 553697073 |
Phone Number | 7634204421 |
Fax Number | 7634205674 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 9790 |
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 |
---|---|---|---|
10656 | MN | BLUECROSSBLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Maple Grove Family Dental Clinic, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Maple Grove Family Dental Clinic, Pa has been assigned the NPI (National Provider Identifier) 1922181197. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Maple Grove Family Dental Clinic, Pa located?
The Maple Grove Family Dental Clinic, Pa is located at 12000 Elm Creek Blvd N, Maple Grove, MN 553697073.
What is Maple Grove Family Dental Clinic, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maple Grove Family Dental Clinic, Pa is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Maple Grove Family Dental Clinic, Pa receive the assignment of its 1922181197 from the Centers for Medicare & Medicaid Services?
The Maple Grove Family Dental Clinic, Pa was issued its 1922181197 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information regarding Maple Grove Family Dental Clinic, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Maple Grove Family Dental Clinic, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.