ADVANCED PERIODONTICS & IMPLANTS PLLC NPI 1730586579

NPI Information

ADVANCED PERIODONTICS & IMPLANTS PLLC 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. ADVANCED PERIODONTICS & IMPLANTS PLLC NPI is 1730586579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Periodontics & Implants.

The provider's business location address is:

2112 VIKING DR NW
ROCHESTER, MN
ZIP 55901-522
Phone: (507) 208-9124
Fax: (507) 218-0326

The provider's authorized official is Bryan Mark Recker .
The authorized official title is Periodontist and has the following contact phone number (507) 226-3706.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 6/15/2015.

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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