East Central Dental Clinic, Pa in Braham - Dental
East Central Dental Clinic, Pa - NPI 1871535344
East Central Dental Clinic, Pa is a Dental in Braham, Minnesota. East Central Dental Clinic, Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for East Central Dental Clinic, Pa is 1871535344. The last update date is 2014-11-30.
East Central Dental Clinic, Pa's current location address is Po Box 170, Braham, Minnesota. You can contact this provider via phone number 3203964417 and fax number 3203964417. The mailing address for East Central Dental Clinic, Pa is Po Box 170, Braham, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Central Dental Clinic, Pa |
|---|---|
| Address | Po Box 170, Braham, Minnesota |
| Phone Number | 3203964417 |
| Fax Number | 3203964417 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Radziun A. James |
| Credentials | D.D.S. |
| Telephone Number | 3203964417 |
NPI Number Detail
| NPI Number | 1871535344 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2014-11-30 |
Provider Mailing Address Detail
| Address | Po Box 170 |
|---|---|
| City | Braham |
| State | Minnesota (MN) |
| Post Code | 550060170 |
| Phone Number | 3203964417 |
| Fax Number | 3203964417 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D9743 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to East Central Dental Clinic, Pa?
The East Central Dental Clinic, Pa has been issued the NPI (National Provider Identifier) 1871535344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where East Central Dental Clinic, Pa is geographically located?
The East Central Dental Clinic, Pa is physically situated at the following location: Po Box 170, Braham, MN, 550060170.
What is the East Central Dental Clinic, Pa's area of specialization and corresponding taxonomy classification?
The East Central Dental Clinic, Pa's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
On what date did the East Central Dental Clinic, Pa receive the assignment of its 1871535344 from the Centers for Medicare & Medicaid Services?
The East Central Dental Clinic, Pa was issued its 1871535344 by the Centers for Medicare & Medicaid Services on 2006-06-11.
When was the information regarding East Central Dental Clinic, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to East Central Dental Clinic, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-11-30.