Dakota Children'S Dentistry in Rosemount - Pediatric Dentistry
Dakota Children'S Dentistry - NPI 1306924584
Dakota Children'S Dentistry is a Pediatric Dentistry in Rosemount, Minnesota. Dakota Children'S Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dakota Children'S Dentistry is 1306924584. The last update date is 2020-08-22.
Dakota Children'S Dentistry's current location address is 3410 151st St W, Rosemount, Minnesota. You can contact this provider via phone number 6513225788 and fax number 6513224257. The mailing address for Dakota Children'S Dentistry is 3410 151st St W, Rosemount, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dakota Children'S Dentistry |
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Address | 3410 151st St W, Rosemount, Minnesota |
Phone Number | 6513225788 |
Fax Number | 6513224257 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Glenn H Daniel |
Credentials | D.D.S, M.S |
Telephone Number | 6513225788 |
NPI Number Detail
NPI Number | 1306924584 |
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Provider Enumeration Date | 2006-11-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3410 151st St W |
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City | Rosemount |
State | Minnesota (MN) |
Post Code | 550681755 |
Phone Number | 6513225788 |
Fax Number | 6513224257 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | D10462 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3049280 | MN | -- |
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What is the Dakota Children'S Dentistry's unique identification number?
The Dakota Children'S Dentistry has been assigned the NPI (National Provider Identifier) Number 1306924584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dakota Children'S Dentistry located?
The Dakota Children'S Dentistry is located at 3410 151St St W, Rosemount, MN 550681755.
What is the Dakota Children'S Dentistry's area of specialization and corresponding taxonomy classification?
The Dakota Children'S Dentistry's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306924584 to Dakota Children'S Dentistry?
The Centers for Medicare & Medicaid Services originally issued the 1306924584 to Dakota Children'S Dentistry on 2006-11-02.
As of what date were the details related to Dakota Children'S Dentistry most recently updated or revised?
The information pertaining to Dakota Children'S Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.