NICOLLET AVENUE DENTAL PLLC NPI 1538593843

NPI Information

NPI: 1538593843
Provider Name: NICOLLET AVENUE DENTAL, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2701 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 874-7674
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NICOLLET AVENUE DENTAL, PLLC is a dental clinic center in Minneapolis, MN. NICOLLET AVENUE DENTAL, PLLC NPI is 1538593843. The provider is registered as an organization entity type.

The provider's business location address is:

2701 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55408-631
Phone: (612) 874-7674
Fax: (612) 874-1117

The provider's authorized official is Paul Thomas Huey .
The authorized official title is Dentist, Co-owner and has the following contact phone number (612) 874-7674.

The enumeration date for this NPI number is 8/23/2013 and was last updated on 8/23/2013.

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	D12939	MINNESOTA	No
2	261QD0000X	Clinic/Center	Dental	D12946	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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