Northeast Dental Wellness, Pa in Minneapolis - General Practice
Northeast Dental Wellness, Pa - NPI 1831119437
Northeast Dental Wellness, Pa is a General Practice in Minneapolis, Minnesota. Northeast Dental Wellness, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Northeast Dental Wellness, Pa is 1831119437. The last update date is 2022-07-21.
Northeast Dental Wellness, Pa's current location address is 3201 Johnson St. Ne, Minneapolis, Minnesota. You can contact this provider via phone number 6127816568 and fax number 6127812447. The mailing address for Northeast Dental Wellness, Pa is 3201 Johnson St. Ne, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Dental Wellness, Pa |
|---|---|
| Address | 3201 Johnson St. Ne, Minneapolis, Minnesota |
| Phone Number | 6127816568 |
| Fax Number | 6127812447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DENT |
|---|---|
| Authorized Official Name | Kwon Woojin |
| Credentials | DDS |
| Telephone Number | 6127816568 |
NPI Number Detail
| NPI Number | 1831119437 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3201 Johnson St. Ne |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55418 |
| Phone Number | 6127816568 |
| Fax Number | 6127812447 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D11714 |
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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 Northeast Dental Wellness, Pa?
The Northeast Dental Wellness, Pa has been issued the NPI (National Provider Identifier) 1831119437 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 Northeast Dental Wellness, Pa?
The Northeast Dental Wellness, Pa is situated at 3201 Johnson St. Ne, in the city of Minneapolis, state of MN, with the zip code 55418.
What is Northeast Dental Wellness, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northeast Dental Wellness, Pa is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Northeast Dental Wellness, Pa receive its 1831119437 assignment from the Centers for Medicare & Medicaid Services?
The Northeast Dental Wellness, Pa was assigned its 1831119437 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Northeast Dental Wellness, Pa's details last updated?
The information pertaining to the Northeast Dental Wellness, Pa, including its address, specialty, and other details, was most recently updated on 2022-07-21.