Fairmont Family Dentistry, Pa in Fairmont - Dental
Fairmont Family Dentistry, Pa - NPI 1356515969
Fairmont Family Dentistry, Pa is a Dental in Fairmont, Minnesota. Fairmont Family Dentistry, Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Fairmont Family Dentistry, Pa is 1356515969. The last update date is 2008-04-15.
Fairmont Family Dentistry, Pa's current location address is 202 N Park St, Fairmont, Minnesota. You can contact this provider via phone number 5072382818 and fax number 5072358914. The mailing address for Fairmont Family Dentistry, Pa is 202 N Park St, Fairmont, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairmont Family Dentistry, Pa |
|---|---|
| Address | 202 N Park St, Fairmont, Minnesota |
| Phone Number | 5072382818 |
| Fax Number | 5072358914 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eriskson Thomas Jon |
| Telephone Number | 5072382812 |
NPI Number Detail
| NPI Number | 1356515969 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 202 N Park St |
|---|---|
| City | Fairmont |
| State | Minnesota (MN) |
| Post Code | 560312824 |
| Phone Number | 5072382818 |
| Fax Number | 5072358914 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D10871 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Fairmont Family Dentistry, Pa by the Centers for Medicare & Medicaid Services?
The Fairmont Family Dentistry, Pa has been assigned the NPI (National Provider Identifier) 1356515969. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fairmont Family Dentistry, Pa's facilities are geographically located?
The facilities of Fairmont Family Dentistry, Pa are physically situated at the following location: 202 N Park St, Fairmont, MN, 560312824.
What is Fairmont Family Dentistry, Pa's area of expertise and its corresponding taxonomy classification?
The Fairmont Family Dentistry, 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 Centers for Medicare & Medicaid Services originally issue the 1356515969 to Fairmont Family Dentistry, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1356515969 to Fairmont Family Dentistry, Pa on 2008-04-15.
As of what date were the details related to Fairmont Family Dentistry, Pa most recently updated or revised?
The information pertaining to Fairmont Family Dentistry, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-15.
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