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EDC P.L.L.C. NPI 1144366626


NPI Information

NPI: 1144366626
Provider Name: EDC, P.L.L.C.

Doing Business As: ELK DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
822 MAIN ST NW
ELK RIVER, MN
ZIP 55330
Phone: (763) 441-2170
Get Directions

EDC, P.L.L.C. is a general practice dentist in Elk River, 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. EDC, P.L.L.C. NPI is 1144366626. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elk Dental Center.

The provider's business location address is:

822 MAIN ST NW
ELK RIVER, MN
ZIP 55330-696
Phone: (763) 441-2170
Fax: (763) 441-9045

The provider's authorized official is Jeffrey Mark Jarmoluk .
The authorized official title is Ceo and has the following contact phone number (763) 441-2170.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 6/30/2017.


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 PracticeD10547MINNESOTAYes

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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