NORTHEAST DENTAL P.A. NPI 1043435951

NPI Information

NORTHEAST DENTAL, P.A. is a general practice dentist in Saint Paul, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NORTHEAST DENTAL, P.A. NPI is 1043435951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4520 CENTERVILLE RD
SAINT PAUL, MN
ZIP 55127-602
Phone: (651) 426-4799
Fax: (651) 426-8106

The provider's authorized official is Robert L Keifer .
The authorized official title is President and has the following contact phone number (651) 426-4799.

The enumeration date for this NPI number is 4/16/2007 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:

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