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NORTHSTAR DENTAL CLINIC PA NPI 1043265481


NPI Information

NPI: 1043265481
Provider Name: NORTHSTAR DENTAL CLINIC PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
675 E NICOLLET BLVD
SUITE 120
BURNSVILLE, MN
ZIP 55337
Phone: (952) 892-7700
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NORTHSTAR DENTAL CLINIC PA is a general practice dentist in Burnsville, 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. NORTHSTAR DENTAL CLINIC PA NPI is 1043265481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

675 E NICOLLET BLVD
SUITE 120
BURNSVILLE, MN
ZIP 55337-741
Phone: (952) 892-7700
Fax: (952) 892-7767

The provider's authorized official is Michael Shawn Nanne .
The authorized official title is Owner President and has the following contact phone number (952) 892-7700.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.


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 Practice10615MINNESOTAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.