CLD - COON RAPIDS MN LLC NPI 1366136269

NPI Information

NPI: 1366136269
Provider Name: CLD - COON RAPIDS MN, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 200-5280
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CLD - COON RAPIDS MN, LLC is a dental clinic center in Coon Rapids, MN. CLD - COON RAPIDS MN, LLC NPI is 1366136269. The provider is registered as an organization entity type.

The provider's business location address is:

3790 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433-629
Phone: (763) 200-5280

The provider's authorized official is David Park .
The authorized official title is Ceo/owner and has the following contact phone number (651) 444-9644.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/5/2023.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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