Willmar Family Dentistry, Pa in Willmar - General Practice
Willmar Family Dentistry, Pa - NPI 1376615450
Willmar Family Dentistry, Pa is a General Practice in Willmar, Minnesota. Willmar Family Dentistry, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Willmar Family Dentistry, Pa is 1376615450. The last update date is 2020-08-22.
Willmar Family Dentistry, Pa's current location address is 1016 1st St S, Willmar, Minnesota. You can contact this provider via phone number 3202352010. The mailing address for Willmar Family Dentistry, Pa is 1016 1st St S, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willmar Family Dentistry, Pa |
|---|---|
| Address | 1016 1st St S, Willmar, Minnesota |
| Phone Number | 3202352010 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Jorgenson M Peter |
| Credentials | D.D.S. |
| Telephone Number | 3202352010 |
NPI Number Detail
| NPI Number | 1376615450 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1016 1st St S |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562013510 |
| Phone Number | 3202352010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D9800 |
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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 Willmar Family Dentistry, Pa by the Centers for Medicare & Medicaid Services?
The Willmar Family Dentistry, Pa has been assigned the NPI (National Provider Identifier) 1376615450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Willmar Family Dentistry, Pa?
The Willmar Family Dentistry, Pa is situated at 1016 1St St S, in the city of Willmar, state of MN, with the zip code 562013510.
What is Willmar Family Dentistry, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Willmar Family Dentistry, Pa is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did Willmar Family Dentistry, Pa receive its 1376615450 assignment?
The Willmar Family Dentistry, Pa was assigned its 1376615450 on 2006-11-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Willmar Family Dentistry, Pa most recently updated or revised?
The information pertaining to Willmar Family Dentistry, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.