KS HOLDINGS PA NPI 1013328608

NPI Information

NPI: 1013328608
Provider Name: KS HOLDINGS PA

Doing Business As: LAKE DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
751 ROSE DR NW
SUITE 108
BIG LAKE, MN
ZIP 55309
Phone: (763) 262-0259
Get Directions

KS HOLDINGS PA is a dental clinic center in Big Lake, MN. KS HOLDINGS PA NPI is 1013328608. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Dental Care.

The provider's business location address is:

751 ROSE DR NW
SUITE 108
BIG LAKE, MN
ZIP 55309-705
Phone: (763) 262-0259

The provider's authorized official is Kyle John Skjei .
The authorized official title is Dentist and has the following contact phone number (763) 262-0259.

The enumeration date for this NPI number is 5/16/2014 and was last updated on 5/16/2014.

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	12781	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: 5/5/2024

NPI Synchronization or Removal

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