Chisholm Dental Service Pa in Chisholm - Dental
Chisholm Dental Service Pa - NPI 1396807012
Chisholm Dental Service Pa is a Dental in Chisholm, Minnesota. Chisholm Dental Service Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Chisholm Dental Service Pa is 1396807012. The last update date is 2020-08-22.
Chisholm Dental Service Pa's current location address is Po Box 632, Chisholm, Minnesota. You can contact this provider via phone number 2182543311 and fax number 2182544531. The mailing address for Chisholm Dental Service Pa is Po Box 632, Chisholm, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chisholm Dental Service Pa |
|---|---|
| Address | Po Box 632, Chisholm, Minnesota |
| Phone Number | 2182543311 |
| Fax Number | 2182544531 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Swennes Goodman Harold |
| Credentials | DDS |
| Telephone Number | 2182543311 |
NPI Number Detail
| NPI Number | 1396807012 |
|---|---|
| Provider Enumeration Date | 2006-12-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 632 |
|---|---|
| City | Chisholm |
| State | Minnesota (MN) |
| Post Code | 557190632 |
| Phone Number | 2182543311 |
| Fax Number | 2182544531 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 3613539 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the Chisholm Dental Service Pa's unique identification number?
The Chisholm Dental Service Pa has been assigned the NPI (National Provider Identifier) Number 1396807012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Chisholm Dental Service Pa's facilities are situated?
The facilities of Chisholm Dental Service Pa are physically located at the following address: Po Box 632, Chisholm, MN, 557190632.
What is Chisholm Dental Service Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Chisholm Dental Service Pa is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.
On what date was the 1396807012 assigned to Chisholm Dental Service Pa?
The Chisholm Dental Service Pa was issued its 1396807012 on 2006-12-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Chisholm Dental Service Pa's information last updated?
The Chisholm Dental Service Pa's information was last updated on 2020-08-22.