SEDATION & IMPLANT DENTISTRY NPI 1073787669

NPI Information

SEDATION & IMPLANT DENTISTRY is a periodontics dentist in Saint Paul, 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. SEDATION & IMPLANT DENTISTRY NPI is 1073787669. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1815 SUBURBAN AVE
SAINT PAUL, MN
ZIP 55119-302
Phone: (651) 735-4661
Fax: (651) 735-1910

The provider's authorized official is Karl Andrew Andreson .
The authorized official title is Owner and has the following contact phone number (651) 735-4661.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.

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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