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MONTICELLO DENTAL GROUP NPI 1942481593


NPI Information

NPI: 1942481593
Provider Name: MONTICELLO DENTAL GROUP

Doing Business As: MONTICELLO DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
20460 CO. RD.11 NW
BIG LAKE, MN
ZIP 55309
Phone: (763) 263-7100
Get Directions

MONTICELLO DENTAL GROUP is a general practice dentist in Big Lake, 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. MONTICELLO DENTAL GROUP NPI is 1942481593. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monticello Dental Center.

The provider's business location address is:

20460 CO. RD.11 NW
BIG LAKE, MN
ZIP 55309
Phone: (763) 263-7100

The provider's authorized official is Joseph Dean Calpas .
The authorized official title is Owner and has the following contact phone number (763) 263-7100.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 11/23/2007.


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
11223G0001XDentistGeneral PracticeYes

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

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