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AMETHYST DENTAL CARE LLC NPI 1609485432


NPI Information

NPI: 1609485432
Provider Name: AMETHYST DENTAL CARE LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1751 HIGHWAY 52 N
ROCHESTER, MN
ZIP 55901
Phone: (507) 282-9288
Get Directions

AMETHYST DENTAL CARE LLC is a general practice dentist in Rochester, 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. AMETHYST DENTAL CARE LLC NPI is 1609485432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1751 HIGHWAY 52 N
ROCHESTER, MN
ZIP 55901-692
Phone: (507) 282-9288
Fax: (507) 292-6622

The provider's authorized official is John C. Boeker .
The authorized official title is Managing Partner and has the following contact phone number (507) 288-9288.

The enumeration date for this NPI number is 7/28/2020 and was last updated on 7/28/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720073554OTHERMINNESOTANPI
21841286457OTHERMINNESOTANPI

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: 11/14/2023

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