Health Source Dental Clinic in Cambridge - Dental Public Health
Health Source Dental Clinic - NPI 1508962994
Health Source Dental Clinic is a Dental Public Health in Cambridge, Minnesota. Health Source Dental Clinic practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Health Source Dental Clinic is 1508962994. The last update date is 2009-02-27.
Health Source Dental Clinic's current location address is 1425 State St, Cambridge, Minnesota. You can contact this provider via phone number 7636897306. The mailing address for Health Source Dental Clinic is 1425 State St, Cambridge, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Health Source Dental Clinic |
|---|---|
| Address | 1425 State St, Cambridge, Minnesota |
| Phone Number | 7636897306 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADULT MENT |
|---|---|
| Authorized Official Name | Kornrumpf L. Rod |
| Telephone Number | 6514315003 |
NPI Number Detail
| NPI Number | 1508962994 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2009-02-27 |
Provider Mailing Address Detail
| Address | 1425 State St |
|---|---|
| City | Cambridge |
| State | Minnesota (MN) |
| Post Code | 550085033 |
| Phone Number | 7636897306 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Public Health |
|---|---|
| Taxonomy | 1223D0001X |
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Definition: The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 366053200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Health Source Dental Clinic by the Centers for Medicare & Medicaid Services?
The Health Source Dental Clinic has been assigned the NPI (National Provider Identifier) 1508962994 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Health Source Dental Clinic's facilities are situated?
The facilities of Health Source Dental Clinic are physically located at the following address: 1425 State St, Cambridge, MN, 550085033.
What is the area of specialization for Health Source Dental Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Health Source Dental Clinic is Dental Public Health, and the corresponding taxonomy code that categorizes this area of expertise is 1223D0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508962994 to Health Source Dental Clinic?
The Health Source Dental Clinic received its 1508962994 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information pertaining to Health Source Dental Clinic most recently updated or revised?
The details related to Health Source Dental Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-27.
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