Main Street Dental Clinic Of New Richland Pllp in New Richland - General Practice

Main Street Dental Clinic Of New Richland Pllp - NPI 1316911415

Main Street Dental Clinic Of New Richland Pllp is a General Practice in New Richland, Minnesota. Main Street Dental Clinic Of New Richland Pllp practices all healthcare services and medical treatments related to General Practice. The NPI Number for Main Street Dental Clinic Of New Richland Pllp is 1316911415. The last update date is 2020-08-22.

Main Street Dental Clinic Of New Richland Pllp's current location address is 132 North Broadway, New Richland, Minnesota. You can contact this provider via phone number 5074630502 and fax number 5074630769. The mailing address for Main Street Dental Clinic Of New Richland Pllp is 132 North Broadway, New Richland, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Main Street Dental Clinic Of New Richland Pllp
Address 132 North Broadway, New Richland, Minnesota
Phone Number 5074630502
Fax Number 5074630769
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 1316911415
Provider Enumeration Date 2006-02-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 132 North Broadway
City New Richland
State Minnesota (MN)
Post Code 56072
Phone Number 5074630502
Fax Number 5074630769

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8069253
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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FAQs about Main Street Dental Clinic Of New Richland Pllp

What is the unique identifier code issued to Main Street Dental Clinic Of New Richland Pllp by the Centers for Medicare & Medicaid Services?

The Main Street Dental Clinic Of New Richland Pllp has been assigned the NPI (National Provider Identifier) 1316911415. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Main Street Dental Clinic Of New Richland Pllp is physically located?

The Main Street Dental Clinic Of New Richland Pllp is physically situated at the following address: 132 North Broadway, New Richland, MN, 56072.

What is Main Street Dental Clinic Of New Richland Pllp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Main Street Dental Clinic Of New Richland Pllp is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316911415 to Main Street Dental Clinic Of New Richland Pllp?

The Main Street Dental Clinic Of New Richland Pllp received its 1316911415 assignment from the Centers for Medicare & Medicaid Services on 2006-02-15.

As of what date were the details related to Main Street Dental Clinic Of New Richland Pllp most recently updated or revised?

The information pertaining to Main Street Dental Clinic Of New Richland Pllp, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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