Central Mn Pediatric Dentists Pa in St Cloud - Pediatric Dentistry
Central Mn Pediatric Dentists Pa - NPI 1144267063
Central Mn Pediatric Dentists Pa is a Pediatric Dentistry in St Cloud, Minnesota. Central Mn Pediatric Dentists Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Central Mn Pediatric Dentists Pa is 1144267063. The last update date is 2013-06-18.
Central Mn Pediatric Dentists Pa's current location address is 1900 Centracare Circle, St Cloud, Minnesota. You can contact this provider via phone number 3202530272 and fax number 3202512661. The mailing address for Central Mn Pediatric Dentists Pa is 1900 Centracare Circle, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mn Pediatric Dentists Pa |
|---|---|
| Address | 1900 Centracare Circle, St Cloud, Minnesota |
| Phone Number | 3202530272 |
| Fax Number | 3202512661 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wenner Hall Joseph |
| Credentials | DDS |
| Telephone Number | 3202530272 |
NPI Number Detail
| NPI Number | 1144267063 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2013-06-18 |
Provider Mailing Address Detail
| Address | 1900 Centracare Circle |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563035000 |
| Phone Number | 3202530272 |
| Fax Number | 3202512661 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 678350300 | MN | -- | |
| 55520WE | MN | BCBS |
Post Comment/ Review Below
What is the Central Mn Pediatric Dentists Pa's unique identification number?
The Central Mn Pediatric Dentists Pa has been assigned the NPI (National Provider Identifier) Number 1144267063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Central Mn Pediatric Dentists Pa is located?
The Central Mn Pediatric Dentists Pa is situated at the following address: 1900 Centracare Circle, St Cloud, MN, 563035000.
What is Central Mn Pediatric Dentists Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Central Mn Pediatric Dentists Pa is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When was the Central Mn Pediatric Dentists Pa's 1144267063 issued?
The Central Mn Pediatric Dentists Pa's 1144267063 was issued on 2006-05-31.
When was the information regarding Central Mn Pediatric Dentists Pa most recently updated?
The details pertaining to the Central Mn Pediatric Dentists Pa, including its address, specialty, and other relevant information, were last refreshed on 2013-06-18.