Byron Rowell Pa in Grand Rapids - Dental

Byron Rowell Pa - NPI 1275797763

Byron Rowell Pa is a Dental in Grand Rapids, Minnesota. Byron Rowell Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Byron Rowell Pa is 1275797763. The last update date is 2008-07-14.

Byron Rowell Pa's current location address is 510 Nw 2nd Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183261266 and fax number 2183269502. The mailing address for Byron Rowell Pa is 510 Nw 2nd Ave, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Byron Rowell Pa
Address 510 Nw 2nd Ave, Grand Rapids, Minnesota
Phone Number 2183261266
Fax Number 2183269502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DENT
Authorized Official Name Rowell G Byron
Credentials D.D.S.
Telephone Number 2183261266

NPI Number Detail

NPI Number 1275797763
Provider Enumeration Date 2008-07-14
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 510 Nw 2nd Ave
City Grand Rapids
State Minnesota (MN)
Post Code 557442627
Phone Number 2183261266
Fax Number 2183269502

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 8282
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
632317100 MN MN CARE

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FAQs about Byron Rowell Pa

What is the unique 10-digit identification code issued to Byron Rowell Pa by the Centers for Medicare & Medicaid Services?

The Byron Rowell Pa has been assigned the NPI (National Provider Identifier) 1275797763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Byron Rowell Pa is geographically located?

The Byron Rowell Pa is physically situated at the following location: 510 Nw 2Nd Ave, Grand Rapids, MN, 557442627.

What is Byron Rowell Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Byron Rowell Pa's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.

On what date did the Byron Rowell Pa receive the assignment of its 1275797763 from the Centers for Medicare & Medicaid Services?

The Byron Rowell Pa was issued its 1275797763 by the Centers for Medicare & Medicaid Services on 2008-07-14.

When was the information regarding Byron Rowell Pa most recently updated?

The details pertaining to the Byron Rowell Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-07-14.

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