IMPLANT AND PERIODONTAL PROFESSIONALS NPI 1306236708

NPI Information

IMPLANT AND PERIODONTAL PROFESSIONALS is a periodontics dentist in Rochester, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. IMPLANT AND PERIODONTAL PROFESSIONALS NPI is 1306236708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3142 WELLNER DR NE
ROCHESTER, MN
ZIP 55906-388
Phone: (507) 206-6452
Fax: (507) 206-6186

The provider's authorized official is Emily Schmalz Kelly .
The authorized official title is Periodontitist and has the following contact phone number (651) 261-3644.

The enumeration date for this NPI number is 1/23/2015 and was last updated on 1/8/2016.

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:

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