John D. Nydahl, Dds, P. A. in Saint Cloud - Dental
John D. Nydahl, Dds, P. A. - NPI 1174547855
John D. Nydahl, Dds, P. A. is a Dental in Saint Cloud, Minnesota. John D. Nydahl, Dds, P. A. practices all healthcare services and medical treatments related to Dental. The NPI Number for John D. Nydahl, Dds, P. A. is 1174547855. The last update date is 2020-08-22.
John D. Nydahl, Dds, P. A.'s current location address is 1011 2nd St N Ste 101, Saint Cloud, Minnesota. You can contact this provider via phone number 3202530744 and fax number 3202539930. The mailing address for John D. Nydahl, Dds, P. A. is 1011 2nd St N Ste 101, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John D. Nydahl, Dds, P. A. |
|---|---|
| Address | 1011 2nd St N Ste 101, Saint Cloud, Minnesota |
| Phone Number | 3202530744 |
| Fax Number | 3202539930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nydahl D. John |
| Credentials | DDS |
| Telephone Number | 3202530744 |
NPI Number Detail
| NPI Number | 1174547855 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1011 2nd St N Ste 101 |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563033237 |
| Phone Number | 3202530744 |
| Fax Number | 3202539930 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D8204 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55162NY | MN | BLUE CROSS BLUE SHIELD | |
| D8204 | MN | DELTA DENTAL |
Post Comment/ Review Below
What is the unique identifier code issued to John D. Nydahl, Dds, P. A. by the Centers for Medicare & Medicaid Services (CMS)?
The John D. Nydahl, Dds, P. A. has been assigned the NPI (National Provider Identifier) 1174547855. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John D. Nydahl, Dds, P. A.?
The John D. Nydahl, Dds, P. A. is situated at 1011 2Nd St N Ste 101, in the city of Saint Cloud, state of MN, with the zip code 563033237.
What is John D. Nydahl, Dds, P. A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John D. Nydahl, Dds, P. A. is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174547855 to John D. Nydahl, Dds, P. A.?
The Centers for Medicare & Medicaid Services assigned the 1174547855 to John D. Nydahl, Dds, P. A. on 2006-07-27.
When was the information regarding John D. Nydahl, Dds, P. A. most recently updated?
The details pertaining to the John D. Nydahl, Dds, P. A., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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