Patrick J Ennen Dds Pa in Coon Rapids - Dental
Patrick J Ennen Dds Pa - NPI 1346393485
Patrick J Ennen Dds Pa is a Dental in Coon Rapids, Minnesota. Patrick J Ennen Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Patrick J Ennen Dds Pa is 1346393485. The last update date is 2020-08-22.
Patrick J Ennen Dds Pa's current location address is 3960 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7634274912. The mailing address for Patrick J Ennen Dds Pa is 3960 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Patrick J Ennen Dds Pa |
|---|---|
| Address | 3960 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7634274912 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ennen Joseph Patrick |
| Credentials | DDS |
| Telephone Number | 7634274912 |
NPI Number Detail
| NPI Number | 1346393485 |
|---|---|
| Provider Enumeration Date | 2007-01-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3960 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332569 |
| Phone Number | 7634274912 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 7668 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Patrick J Ennen Dds Pa by the Centers for Medicare & Medicaid Services?
The Patrick J Ennen Dds Pa has been assigned the NPI (National Provider Identifier) 1346393485 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Patrick J Ennen Dds Pa is physically located?
The Patrick J Ennen Dds Pa is physically situated at the following address: 3960 Coon Rapids Blvd Nw, Coon Rapids, MN, 554332569.
What is Patrick J Ennen Dds Pa's area of expertise and its corresponding taxonomy classification?
The Patrick J Ennen Dds Pa's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Patrick J Ennen Dds Pa receive the assignment of its 1346393485 from the Centers for Medicare & Medicaid Services?
The Patrick J Ennen Dds Pa was issued its 1346393485 by the Centers for Medicare & Medicaid Services on 2007-01-20.
When was the information pertaining to Patrick J Ennen Dds Pa most recently updated or revised?
The details related to Patrick J Ennen Dds Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.