Northwest Family Dental Center Tn in Saint Michael - General Practice
Northwest Family Dental Center Tn - NPI 1114130010
Northwest Family Dental Center Tn is a General Practice in Saint Michael, Minnesota. Northwest Family Dental Center Tn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Northwest Family Dental Center Tn is 1114130010. The last update date is 2020-08-22.
Northwest Family Dental Center Tn's current location address is 12725 43rd St Ne, Saint Michael, Minnesota. You can contact this provider via phone number 7634972367 and fax number 7634978171. The mailing address for Northwest Family Dental Center Tn is 12725 43rd St Ne, Saint Michael, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Family Dental Center Tn |
|---|---|
| Address | 12725 43rd St Ne, Saint Michael, Minnesota |
| Phone Number | 7634972367 |
| Fax Number | 7634978171 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Desimone A. David |
| Credentials | D.D.S. |
| Telephone Number | 7634972367 |
NPI Number Detail
| NPI Number | 1114130010 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12725 43rd St Ne |
|---|---|
| City | Saint Michael |
| State | Minnesota (MN) |
| Post Code | 553764900 |
| Phone Number | 7634972367 |
| Fax Number | 7634978171 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8424 |
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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 identification code issued to Northwest Family Dental Center Tn by the Centers for Medicare & Medicaid Services?
The Northwest Family Dental Center Tn has been assigned the NPI (National Provider Identifier) 1114130010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Northwest Family Dental Center Tn's physical address?
The Northwest Family Dental Center Tn is physically located at 12725 43Rd St Ne, in the city of Saint Michael, MN, with the postal code 553764900.
What is Northwest Family Dental Center Tn's area of expertise and its corresponding taxonomy classification?
The Northwest Family Dental Center Tn's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1114130010 to Northwest Family Dental Center Tn?
The Northwest Family Dental Center Tn received its 1114130010 assignment from the Centers for Medicare & Medicaid Services on 2007-05-07.
As of what date was the information regarding Northwest Family Dental Center Tn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northwest Family Dental Center Tn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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