St. Croix Valley Dental, Pllc in Rosemount - Point Of Service
St. Croix Valley Dental, Pllc - NPI 1619144540
St. Croix Valley Dental, Pllc is a Point Of Service in Rosemount, Minnesota. St. Croix Valley Dental, Pllc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for St. Croix Valley Dental, Pllc is 1619144540. The last update date is 2008-05-09.
St. Croix Valley Dental, Pllc's current location address is 14895 S Robert Trl, Rosemount, Minnesota. You can contact this provider via phone number 9524232288 and fax number 9524232203. The mailing address for St. Croix Valley Dental, Pllc is 14895 S Robert Trl, Rosemount, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Croix Valley Dental, Pllc |
|---|---|
| Address | 14895 S Robert Trl, Rosemount, Minnesota |
| Phone Number | 9524232288 |
| Fax Number | 9524232203 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wolff S. Douglas |
| Credentials | D.D.S. |
| Telephone Number | 6514392600 |
NPI Number Detail
| NPI Number | 1619144540 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 14895 S Robert Trl |
|---|---|
| City | Rosemount |
| State | Minnesota (MN) |
| Post Code | 550683108 |
| Phone Number | 9524232288 |
| Fax Number | 9524232203 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | D11480 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 275435000 | MN | MHCP | |
| 71695000 | WI | MHCP | |
| 617665000 | MN | MINNESOTA HEALTH CARE PROVIDER | |
| 897945000 | MN | MHCP | |
| 38396800 | WI | MHCP |
Post Comment/ Review Below
What is the unique identification code assigned to St. Croix Valley Dental, Pllc by the Centers for Medicare & Medicaid Services?
The St. Croix Valley Dental, Pllc has been issued the NPI (National Provider Identifier) 1619144540. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of St. Croix Valley Dental, Pllc?
The St. Croix Valley Dental, Pllc is situated at 14895 S Robert Trl, in the city of Rosemount, state of MN, with the zip code 550683108.
What is St. Croix Valley Dental, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The St. Croix Valley Dental, Pllc's area of specialization is Point Of Service, and the corresponding taxonomy code that categorizes this field of practice is 305S00000X.
When did the St. Croix Valley Dental, Pllc receive its 1619144540?
The St. Croix Valley Dental, Pllc was issued its 1619144540 on 2008-05-09, which is the date when the organization was assigned this unique identifier.
When was the information related to St. Croix Valley Dental, Pllc most recently updated or refreshed?
The details pertaining to the St. Croix Valley Dental, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-09.