Dental Specialists Of Minnesota, Pllc in Lake Elmo - Pediatric Dentistry
Dental Specialists Of Minnesota, Pllc - NPI 1346316189
Dental Specialists Of Minnesota, Pllc is a Pediatric Dentistry in Lake Elmo, Minnesota. Dental Specialists Of Minnesota, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dental Specialists Of Minnesota, Pllc is 1346316189. The last update date is 2020-01-28.
Dental Specialists Of Minnesota, Pllc's current location address is 8650 Hudson Blvd N, Lake Elmo, Minnesota. You can contact this provider via phone number 6517149477. The mailing address for Dental Specialists Of Minnesota, Pllc is 8650 Hudson Blvd N, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Specialists Of Minnesota, Pllc |
|---|---|
| Address | 8650 Hudson Blvd N, Lake Elmo, Minnesota |
| Phone Number | 6517149477 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Law Alan |
| Credentials | D.D.S., PH |
| Telephone Number | 6516330500 |
NPI Number Detail
| NPI Number | 1346316189 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2020-01-28 |
Provider Mailing Address Detail
| Address | 8650 Hudson Blvd N |
|---|---|
| City | Lake Elmo |
| State | Minnesota (MN) |
| Post Code | 550429747 |
| Phone Number | 6517149477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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. |
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What is the unique 10-digit identification code assigned to Dental Specialists Of Minnesota, Pllc by the Centers for Medicare & Medicaid Services?
The Dental Specialists Of Minnesota, Pllc has been issued the NPI (National Provider Identifier) 1346316189, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dental Specialists Of Minnesota, Pllc?
The Dental Specialists Of Minnesota, Pllc is physically situated at 8650 Hudson Blvd N, in the city of Lake Elmo, state of MN, with the postal code 550429747.
What is Dental Specialists Of Minnesota, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dental Specialists Of Minnesota, Pllc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Dental Specialists Of Minnesota, Pllc receive its 1346316189 assignment from the Centers for Medicare & Medicaid Services?
The Dental Specialists Of Minnesota, Pllc was assigned its 1346316189 by the Centers for Medicare & Medicaid Services on 2006-11-24.
When was the Dental Specialists Of Minnesota, Pllc's information last updated?
The Dental Specialists Of Minnesota, Pllc's information was last updated on 2020-01-28.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA