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CHILDREN'S DENTAL CARE SPECIALISTS NPI 1265554075


NPI Information

NPI: 1265554075
Provider Name: CHILDREN'S DENTAL CARE SPECIALISTS

Doing Business As: KID GRINS PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
7450 FRANCE AVE S
SUITE 250
EDINA, MN
ZIP 55435
Phone: (952) 925-5334
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CHILDREN'S DENTAL CARE SPECIALISTS is a pediatric dentistry dentist in Edina, MN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CHILDREN'S DENTAL CARE SPECIALISTS NPI is 1265554075. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kid Grins Pediatric Dentistry.

The provider's business location address is:

7450 FRANCE AVE S
SUITE 250
EDINA, MN
ZIP 55435-787
Phone: (952) 925-5334

The provider's authorized official is Amey L Severson .
The authorized official title is Owner and has the following contact phone number (952) 925-5334.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 9/13/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryD12014MINNESOTAYes

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: 4/28/2024

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