RIVER CITY DENTAL LLC NPI 1356411417

NPI Information

RIVER CITY DENTAL, LLC is a general practice dentist in Saint Cloud, 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. RIVER CITY DENTAL, LLC NPI is 1356411417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 MAINE PRAIRIE RD
SAINT CLOUD, MN
ZIP 56301-881
Phone: (320) 252-6233
Fax: (320) 252-9261

The provider's authorized official is Dedric Mcbroom .
The authorized official title is Owner and has the following contact phone number (320) 252-6233.

The enumeration date for this NPI number is 11/8/2006 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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