FALLS COURT DENTISTS PA NPI 1124096011

NPI Information

FALLS COURT DENTISTS PA is a dental clinic center in Little Falls, MN. FALLS COURT DENTISTS PA NPI is 1124096011. The provider is registered as an organization entity type.

The provider's business location address is:

119 NE FIRST STREET
STE 4
LITTLE FALLS, MN
ZIP 56345
Phone: (320) 632-6621
Fax: (320) 632-1829

The provider's authorized official is Lyle Mark Gessell .
The authorized official title is Owner Corp Vice President and has the following contact phone number (320) 632-6621.

The enumeration date for this NPI number is 3/8/2006 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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