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STAT DENTAL INC NPI 1003021239


NPI Information

NPI: 1003021239
Provider Name: STAT DENTAL, INC

Doing Business As: EMERGENCY DENTAL CARE USA

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2233 HAMLINE AVE N
SUITE 432
ROSEVILLE, MN
ZIP 55113
Phone: (651) 778-9911
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STAT DENTAL, INC is a dental clinic center in Roseville, MN. STAT DENTAL, INC NPI is 1003021239. The provider is registered as an organization entity type.
The provider Is Doing Business As Emergency Dental Care Usa.

The provider's business location address is:

2233 HAMLINE AVE N
SUITE 432
ROSEVILLE, MN
ZIP 55113-009
Phone: (651) 778-9911
Fax: (651) 633-0146

The provider's authorized official is Timothy J Giblette .
The authorized official title is President and has the following contact phone number (612) 859-7359.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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