Terry D Bongard Dds Pa in Minneapolis - Dental
Terry D Bongard Dds Pa - NPI 1366629560
Terry D Bongard Dds Pa is a Dental in Minneapolis, Minnesota. Terry D Bongard Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Terry D Bongard Dds Pa is 1366629560. The last update date is 2008-01-30.
Terry D Bongard Dds Pa's current location address is 3620 E 41st St, Minneapolis, Minnesota. You can contact this provider via phone number 6127293244. The mailing address for Terry D Bongard Dds Pa is 3620 E 41st St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Terry D Bongard Dds Pa |
|---|---|
| Address | 3620 E 41st St, Minneapolis, Minnesota |
| Phone Number | 6127293244 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bongard Donald Terry |
| Credentials | DDS |
| Telephone Number | 6127293244 |
NPI Number Detail
| NPI Number | 1366629560 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 3620 E 41st St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554063332 |
| Phone Number | 6127293244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 8412 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique identifier code issued to Terry D Bongard Dds Pa by the Centers for Medicare & Medicaid Services?
The Terry D Bongard Dds Pa has been assigned the NPI (National Provider Identifier) 1366629560. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Terry D Bongard Dds Pa located?
The Terry D Bongard Dds Pa is located at 3620 E 41St St, Minneapolis, MN 554063332.
What is the Terry D Bongard Dds Pa's area of specialization and corresponding taxonomy classification?
The Terry D Bongard Dds Pa's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
When did Terry D Bongard Dds Pa receive its 1366629560 assignment?
The Terry D Bongard Dds Pa was assigned its 1366629560 on 2008-01-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Terry D Bongard Dds Pa last refreshed?
The information related to the Terry D Bongard Dds Pa, including its address, specialty, and other relevant details, was last updated on 2008-01-30.